Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $10,347.48 / $32,689.00	Facility		$2,747.00	$10,347.48	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.20 / $553.77 / $553.77	Professional		$470.20	$553.77	$553.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $969.82 / $1,185.14 / $1,349.05	Professional		$969.82	$1,185.14	$1,349.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $553.77 / $693.60 / $1,201.83	Facility		$553.77	$693.60	$1,201.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $726.30 / $17,066.33 / $26,872.07	Facility		$726.30	$17,066.33	$26,872.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $553.77 / $791.89 / $1,201.83	Facility		$553.77	$791.89	$1,201.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $652.32 / $652.32 / $1,068.09	Professional		$652.32	$652.32	$1,068.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $62,246.10 / $77,972.48 / $94,895.79	Facility		$62,246.10	$77,972.48	$94,895.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $779.76 / $1,227.07 / $1,633.29	Professional		$779.76	$1,227.07	$1,633.29
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $57,498.00 / $90,630.00	Facility		$7,425.00	$57,498.00	$90,630.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.80 / $1,036.79 / $1,532.03	Professional		$748.80	$1,036.79	$1,532.03