Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $10,347.48 / $20,400.00	Facility		$2,747.00	$10,347.48	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $56.17 / $56.17	Professional		$46.58	$56.17	$56.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $706.32 / $863.14 / $981.65	Professional		$706.32	$863.14	$981.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.17 / $58.98 / $120.77	Facility		$56.17	$58.98	$120.77
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 $622.33 / $8,107.18 / $11,397.64	Facility		$622.33	$8,107.18	$11,397.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.17 / $80.31 / $736.61	Facility		$56.17	$80.31	$736.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $66.59 / $777.24	Professional		$66.59	$66.59	$777.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,539.32 / $27,893.00 / $33,574.44	Facility		$21,539.32	$27,893.00	$33,574.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.96 / $929.63 / $1,188.52	Professional		$489.96	$929.63	$1,188.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $105.11 / $1,137.26	Professional		$77.38	$105.11	$1,137.26