Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.45 / $2,400.00 / $2,400.00	Professional		$441.45	$2,400.00	$2,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.30 / $1,101.97 / $1,330.71	Professional		$891.30	$1,101.97	$1,330.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $375.23 / $441.45 / $949.12	Facility		$375.23	$441.45	$949.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $379.40 / $502.32 / $859.38	Facility		$379.40	$502.32	$859.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.60 / $441.45 / $949.12	Facility		$280.60	$441.45	$949.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.04 / $757.94 / $1,159.33	Professional		$520.04	$757.94	$1,159.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $713.16 / $1,065.58 / $1,517.45	Professional		$713.16	$1,065.58	$1,517.45
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.52 / $769.16 / $1,416.21	Professional		$562.52	$769.16	$1,416.21