Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,072.60 / $15,341.00	Facility		$2,747.00	$6,072.60	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $147.32 / $161.66	Professional		$132.19	$147.32	$161.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.63 / $324.35 / $336.34	Professional		$269.63	$324.35	$336.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.66 / $228.52 / $347.57	Facility		$161.66	$228.52	$347.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.79 / $273.60 / $285.42	Facility		$233.79	$273.60	$285.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.66 / $228.52 / $347.57	Facility		$161.66	$228.52	$347.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $192.98 / $292.92	Professional		$192.98	$192.98	$292.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $155.05 / $205.78 / $242.25	Facility		$155.05	$205.78	$242.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $243.39 / $349.53 / $404.58	Professional		$243.39	$349.53	$404.58
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $210.38 / $442.38	Professional		$153.44	$210.38	$442.38