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 $373.16 / $449.93 / $449.93	Professional		$373.16	$449.93	$449.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.86 / $844.23 / $961.91	Professional		$690.86	$844.23	$961.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $449.93 / $472.43 / $967.35	Facility		$449.93	$472.43	$967.35
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 $608.62 / $23,828.78 / $32,731.72	Facility		$608.62	$23,828.78	$32,731.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $449.93 / $563.54 / $967.35	Facility		$449.93	$563.54	$967.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $529.55 / $529.55 / $761.46	Professional		$529.55	$529.55	$761.46
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 $634.10 / $911.87 / $1,248.05	Professional		$634.10	$911.87	$1,248.05
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $57,498.00 / $90,630.00	Facility		$7,425.00	$57,498.00	$90,630.00
United Facility/Professional Professional Modifier Low / Median / High Price $608.40 / $842.40 / $1,245.83	Professional		$608.40	$842.40	$1,245.83