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 $297.82 / $435.39 / $435.39	Professional		$297.82	$435.39	$435.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $811.77 / $991.94 / $1,129.75	Professional		$811.77	$991.94	$1,129.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $435.39 / $545.33 / $936.09	Facility		$435.39	$545.33	$936.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $607.83 / $5,265.38 / $10,387.82	Facility		$607.83	$5,265.38	$10,387.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $435.39 / $622.61 / $936.09	Facility		$435.39	$622.61	$936.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $544.96 / $544.96 / $894.54	Professional		$544.96	$544.96	$894.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,539.32 / $27,893.00 / $39,974.26	Facility		$21,539.32	$27,893.00	$39,974.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $651.41 / $1,027.68 / $1,367.90	Professional		$651.41	$1,027.68	$1,367.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.24 / $656.63 / $1,279.85	Professional		$474.24	$656.63	$1,279.85