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 $409.53 / $493.77 / $493.77	Professional		$409.53	$493.77	$493.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.84 / $801.45 / $913.22	Professional		$655.84	$801.45	$913.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.77 / $493.77 / $1,061.60	Facility		$346.77	$493.77	$1,061.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.87 / $1,432.80 / $1,908.44	Facility		$309.87	$1,432.80	$1,908.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.77 / $493.77 / $1,061.60	Facility		$346.77	$493.77	$1,061.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $312.08 / $416.12 / $723.04	Professional		$312.08	$416.12	$723.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $570.20 / $863.17 / $1,122.29	Professional		$570.20	$863.17	$1,122.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.68 / $885.96 / $1,165.14	Professional		$667.68	$885.96	$1,165.14