Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $72.31 / $72.31	Professional		$13.60	$72.31	$72.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.44 / $102.89 / $347.15	Professional		$82.44	$102.89	$347.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $75.94 / $155.49	Facility		$72.31	$75.94	$155.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $2,995.90 / $4,309.97	Facility		$65.09	$2,995.90	$4,309.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.31 / $89.64 / $155.49	Facility		$72.31	$89.64	$155.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.62 / $123.39 / $277.83	Professional		$85.62	$123.39	$277.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.43 / $14,215.14 / $17,324.30	Facility		$10,762.43	$14,215.14	$17,324.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $144.41 / $184.62	Professional		$101.80	$144.41	$184.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $107.25 / $200.02	Professional		$52.90	$107.25	$200.02