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 $200.68 / $372.34 / $372.34	Professional		$200.68	$372.34	$372.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $590.44 / $736.90 / $829.64	Professional		$590.44	$736.90	$829.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $372.34 / $390.96 / $800.53	Facility		$372.34	$390.96	$800.53
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 $389.54 / $587.45 / $649.23	Facility		$389.54	$587.45	$649.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.34 / $372.34 / $800.53	Facility		$372.34	$372.34	$800.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $438.50 / $664.05 / $732.78	Professional		$438.50	$664.05	$732.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.16 / $795.06 / $1,016.48	Professional		$524.16	$795.06	$1,016.48
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 $513.04 / $747.11 / $1,029.85	Professional		$513.04	$747.11	$1,029.85