Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $12,022.64 / $18,620.87	Facility		$56.23	$12,022.64	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $371.54	Professional		$44.67	$56.23	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $977.24	Professional		$602.56	$794.33	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $138.04 / $13,803.84	Facility		$56.23	$138.04	$13,803.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $158.49 / $13,489.63	Professional		$44.67	$158.49	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $6,918.31 / $10,964.78	Facility		$616.60	$6,918.31	$10,964.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $87.10 / $537.03	Facility		$56.23	$87.10	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $776.25	Professional		$79.43	$79.43	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $28,183.83 / $33,884.42	Facility		$21,379.62	$28,183.83	$33,884.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $933.25 / $1,202.26	Professional		$95.50	$933.25	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $52,480.75	Facility		$3,311.31	$26,302.68	$52,480.75
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $977.24	Professional		$72.44	$104.71	$977.24