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 $166.27 / $215.81 / $216.99	Professional		$166.27	$215.81	$216.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.29 / $330.47 / $399.84	Professional		$267.29	$330.47	$399.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.44 / $216.99 / $466.53	Facility		$184.44	$216.99	$466.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.22 / $307.76 / $340.36	Facility		$204.22	$307.76	$340.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.50 / $216.99 / $310.30	Facility		$184.50	$216.99	$310.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $255.49 / $267.11 / $348.49	Professional		$255.49	$267.11	$348.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $425.09 / $556.32 / $702.90	Facility		$425.09	$556.32	$702.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $274.54 / $361.95 / $540.36	Professional		$274.54	$361.95	$540.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.44 / $366.61 / $539.40	Professional		$254.44	$366.61	$539.40