Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $7,943.28 / $7,943.28	Facility		$72.44	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $57.54 / $131.83	Professional		$12.88	$57.54	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $316.23	Professional		$64.57	$85.11	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $74.13 / $245.47	Facility		$60.26	$74.13	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $52.48 / $208.93	Professional		$12.88	$52.48	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $125.89 / $4,265.80	Facility		$63.10	$125.89	$4,265.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $72.44 / $229.09	Facility		$35.48	$72.44	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $275.42	Professional		$79.43	$79.43	$275.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $14,454.40 / $17,378.01	Facility		$10,715.19	$14,454.40	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $173.78	Professional		$104.71	$131.83	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $100.00 / $162.18	Professional		$34.67	$100.00	$162.18