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 $307.27 / $389.93 / $389.93	Professional		$307.27	$389.93	$389.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.04 / $833.51 / $948.76	Professional		$682.04	$833.51	$948.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.93 / $488.39 / $838.35	Facility		$389.93	$488.39	$838.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $510.79 / $7,731.34 / $12,793.18	Facility		$510.79	$7,731.34	$12,793.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.93 / $557.60 / $838.35	Facility		$389.93	$557.60	$838.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $459.34 / $459.34 / $751.17	Professional		$459.34	$459.34	$751.17
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 $548.54 / $862.97 / $1,148.66	Professional		$548.54	$862.97	$1,148.66
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 $489.83 / $677.51 / $1,117.10	Professional		$489.83	$677.51	$1,117.10