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 $157.12 / $291.94 / $291.94	Professional		$157.12	$291.94	$291.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $462.38 / $577.05 / $649.69	Professional		$462.38	$577.05	$649.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $291.94 / $306.54 / $627.66	Facility		$291.94	$306.54	$627.66
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 $305.12 / $460.06 / $508.53	Facility		$305.12	$460.06	$508.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.94 / $291.94 / $627.66	Facility		$291.94	$291.94	$627.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.83 / $519.99 / $574.55	Professional		$343.83	$519.99	$574.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $410.46 / $622.76 / $796.19	Professional		$410.46	$622.76	$796.19
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 $387.09 / $570.40 / $806.42	Professional		$387.09	$570.40	$806.42