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 $69.44 / $79.09 / $89.68	Professional		$69.44	$79.09	$89.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $53.37 / $154.46	Professional		$41.93	$53.37	$154.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $79.09 / $113.11	Facility		$14.14	$79.09	$113.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.03 / $10.77 / $11.57	Facility		$7.03	$10.77	$11.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $79.09 / $130.21	Facility		$14.14	$79.09	$130.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $22.11 / $93.17	Professional		$10.61	$22.11	$93.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $99.75 / $150.28	Professional		$76.34	$99.75	$150.28
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 $17.64 / $24.49 / $40.40	Professional		$17.64	$24.49	$40.40