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 / $20,400.00	Facility		$2,747.00	$9,338.46	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.79 / $585.70 / $585.70	Professional		$485.79	$585.70	$585.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,133.07 / $1,649.65 / $1,885.31	Professional		$1,133.07	$1,649.65	$1,885.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $585.70 / $733.59 / $1,259.26	Facility		$585.70	$733.59	$1,259.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $765.04 / $2,871.94 / $3,631.75	Facility		$765.04	$2,871.94	$3,631.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $585.70 / $805.30 / $1,723.34	Facility		$585.70	$805.30	$1,723.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $689.92 / $689.92 / $987.15	Professional		$689.92	$689.92	$987.15
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 $824.16 / $1,182.14 / $1,622.15	Professional		$824.16	$1,182.14	$1,622.15
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 $791.95 / $1,157.49 / $1,689.41	Professional		$791.95	$1,157.49	$1,689.41