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 $65.11 / $233.36 / $3,225.57	Professional		$65.11	$233.36	$3,225.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.59 / $136.02 / $12,652.78	Professional		$101.59	$136.02	$12,652.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $139.99 / $8,621.19	Facility		$58.49	$139.99	$8,621.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $3,846.93 / $8,108.98	Professional		$92.94	$3,846.93	$8,108.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $414.38 / $1,617.37 / $5,110.60	Facility		$414.38	$1,617.37	$5,110.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $2,121.25 / $8,085.02	Facility		$58.49	$2,121.25	$8,085.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $3,361.64 / $6,724.48	Professional		$107.71	$3,361.64	$6,724.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,518.30 / $5,251.79 / $7,048.47	Facility		$1,518.30	$5,251.79	$7,048.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.62 / $191.27 / $8,926.40	Professional		$94.62	$191.27	$8,926.40
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 $2,732.64 / $3,768.75 / $8,135.03	Professional		$2,732.64	$3,768.75	$8,135.03