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 $156.74 / $781.47 / $781.47	Professional		$156.74	$781.47	$781.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.13 / $575.51 / $647.91	Professional		$461.13	$575.51	$647.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $781.47 / $781.47 / $1,680.16	Facility		$781.47	$781.47	$1,680.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $414.89 / $3,452.94 / $4,507.97	Facility		$414.89	$3,452.94	$4,507.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.64 / $781.47 / $1,680.16	Facility		$624.64	$781.47	$1,680.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $518.62 / $518.62 / $1,537.47	Professional		$518.62	$518.62	$1,537.47
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 $409.37 / $621.04 / $871.06	Professional		$409.37	$621.04	$871.06
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 $652.80 / $1,198.88 / $1,808.48	Professional		$652.80	$1,198.88	$1,808.48