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 $219.10 / $258.00 / $258.00	Professional		$219.10	$258.00	$258.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.36 / $568.66 / $646.46	Professional		$465.36	$568.66	$646.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.00 / $323.14 / $560.25	Facility		$258.00	$323.14	$560.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $327.96 / $479.69 / $3,477.00	Facility		$327.96	$479.69	$3,477.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.00 / $368.94 / $573.75	Facility		$258.00	$368.94	$573.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.18 / $321.18 / $511.76	Professional		$321.18	$321.18	$511.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,410.73 / $11,450.46 / $15,515.53	Facility		$8,410.73	$11,450.46	$15,515.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $384.47 / $588.71 / $783.60	Professional		$384.47	$588.71	$783.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.21 / $469.70 / $755.37	Professional		$342.21	$469.70	$755.37