Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,072.60 / $15,341.00	Facility		$2,747.00	$6,072.60	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.68 / $374.58 / $374.58	Professional		$310.68	$374.58	$374.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $606.66 / $741.36 / $843.00	Professional		$606.66	$741.36	$843.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.33 / $374.58 / $805.35	Facility		$306.33	$374.58	$805.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.83 / $489.07 / $652.58	Facility		$275.83	$489.07	$652.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.33 / $374.58 / $805.35	Facility		$301.33	$374.58	$805.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.77 / $440.77 / $667.48	Professional		$440.77	$440.77	$667.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,578.09 / $2,064.48 / $2,604.89	Facility		$1,578.09	$2,064.48	$2,604.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $527.41 / $799.17 / $1,038.08	Professional		$527.41	$799.17	$1,038.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.48 / $701.27 / $1,026.58	Professional		$506.48	$701.27	$1,026.58