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 $109.18 / $1,000.00 / $2,267.38	Professional		$109.18	$1,000.00	$2,267.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $226.50 / $11,887.39	Professional		$169.19	$226.50	$11,887.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.95 / $234.74 / $8,095.94	Facility		$97.95	$234.74	$8,095.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.51 / $298.12 / $7,588.59	Professional		$154.51	$298.12	$7,588.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $459.93 / $1,617.37 / $5,087.50	Facility		$459.93	$1,617.37	$5,087.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.95 / $2,127.73 / $8,044.69	Facility		$97.95	$2,127.73	$8,044.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.20 / $3,176.88 / $6,690.94	Professional		$179.20	$3,176.88	$6,690.94
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 $158.46 / $2,335.05 / $8,881.87	Professional		$158.46	$2,335.05	$8,881.87
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 $2,802.30 / $3,888.91 / $9,880.20	Professional		$2,802.30	$3,888.91	$9,880.20