Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $367.70 / $367.70	Professional		$198.06	$367.70	$367.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $583.04 / $727.71 / $819.33	Professional		$583.04	$727.71	$819.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $367.70 / $386.09 / $790.56	Facility		$367.70	$386.09	$790.56
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 $384.31 / $580.14 / $640.52	Facility		$384.31	$580.14	$640.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.70 / $367.70 / $790.56	Facility		$367.70	$367.70	$790.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $433.52 / $655.82 / $724.45	Professional		$433.52	$655.82	$724.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $517.66 / $784.40 / $1,002.84	Professional		$517.66	$784.40	$1,002.84
United Facility/Professional Professional Modifier Low / Median / High Price $497.13 / $726.55 / $1,017.08	Professional		$497.13	$726.55	$1,017.08