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 $76.73 / $163.29 / $416.15	Professional		$76.73	$163.29	$416.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $155.27 / $231.54	Professional		$106.00	$155.27	$231.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $109.72 / $170.37	Facility		$68.70	$109.72	$170.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.78 / $162.21 / $253.06	Professional		$107.78	$162.21	$253.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.03 / $162.13 / $201.00	Facility		$106.03	$162.13	$201.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $117.69 / $252.28	Facility		$68.70	$117.69	$252.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $189.75 / $250.41	Professional		$125.78	$189.75	$250.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $617.05 / $758.89	Facility		$492.49	$617.05	$758.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $169.22 / $278.57	Professional		$111.15	$169.22	$278.57
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $196.95 / $309.88	Professional		$136.69	$196.95	$309.88