Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,338.46 / $30,593.00	Facility		$2,747.00	$9,338.46	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.11 / $256.98 / $256.98	Professional		$213.11	$256.98	$256.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.60 / $609.42 / $670.64	Professional		$512.60	$609.42	$670.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.98 / $269.66 / $552.51	Facility		$256.98	$269.66	$552.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $242.49 / $2,871.94 / $3,631.75	Facility		$242.49	$2,871.94	$3,631.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.98 / $269.66 / $552.51	Facility		$256.98	$269.66	$552.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $242.69 / $306.30 / $530.96	Professional		$242.69	$306.30	$530.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,410.73 / $11,450.46 / $14,700.82	Facility		$8,410.73	$11,450.46	$14,700.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $382.84 / $622.16 / $811.93	Professional		$382.84	$622.16	$811.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.36 / $480.97 / $752.17	Professional		$347.36	$480.97	$752.17