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 $163.72 / $303.85 / $303.85	Professional		$163.72	$303.85	$303.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.81 / $638.73 / $719.71	Professional		$511.81	$638.73	$719.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $303.85 / $319.04 / $653.28	Facility		$303.85	$319.04	$653.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $337.28 / $509.23 / $562.13	Facility		$337.28	$509.23	$562.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $303.85 / $334.24 / $653.28	Facility		$303.85	$334.24	$653.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.42 / $576.24 / $597.27	Professional		$357.42	$576.24	$597.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,009.09 / $1,148.95 / $1,578.01	Facility		$1,009.09	$1,148.95	$1,578.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $427.79 / $688.40 / $841.98	Professional		$427.79	$688.40	$841.98
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 $410.80 / $593.69 / $840.48	Professional		$410.80	$593.69	$840.48