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 $142.86 / $142.86 / $226.35	Professional		$142.86	$142.86	$226.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.60 / $227.31 / $558.14	Professional		$178.60	$227.31	$558.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $207.82 / $323.68	Facility		$22.06	$207.82	$323.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $149.91 / $223.20	Facility		$18.05	$149.91	$223.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $226.35 / $434.06	Facility		$22.06	$226.35	$434.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $31.84 / $297.60	Professional		$19.89	$31.84	$297.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.60 / $738.99 / $1,320.02	Facility		$492.60	$738.99	$1,320.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $307.02 / $403.28 / $604.30	Professional		$307.02	$403.28	$604.30
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 $413.78 / $581.05 / $902.58	Professional		$413.78	$581.05	$902.58