Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $13,042.97 / $59,023.00	Facility		$3,107.00	$13,042.97	$59,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.29 / $404.28 / $404.28	Professional		$335.29	$404.28	$404.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.56 / $842.66 / $958.31	Professional		$689.56	$842.66	$958.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $404.28 / $424.49 / $869.20	Facility		$404.28	$424.49	$869.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92,699.07 / $92,699.07 / $92,699.07	Professional		$92,699.07	$92,699.07	$92,699.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $607.52 / $27,183.30 / $39,179.76	Facility		$607.52	$27,183.30	$39,179.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.28 / $506.36 / $869.20	Facility		$404.28	$506.36	$869.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $476.10 / $476.10 / $758.72	Professional		$476.10	$476.10	$758.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $62,246.10 / $77,972.48 / $94,895.79	Facility		$62,246.10	$77,972.48	$94,895.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $598.90 / $908.29 / $1,178.77	Professional		$598.90	$908.29	$1,178.77
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $57,498.00 / $85,859.00	Facility		$7,425.00	$57,498.00	$85,859.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.52 / $756.72 / $1,176.66	Professional		$546.52	$756.72	$1,176.66