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 $481.01 / $566.90 / $566.90	Professional		$481.01	$566.90	$566.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.84 / $1,082.52 / $1,232.29	Professional		$885.84	$1,082.52	$1,232.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $566.90 / $710.04 / $1,230.06	Facility		$566.90	$710.04	$1,230.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $684.83 / $7,731.34 / $26,872.07	Facility		$684.83	$7,731.34	$26,872.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $566.90 / $810.67 / $1,230.06	Facility		$566.90	$810.67	$1,230.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $706.68 / $706.68 / $975.49	Professional		$706.68	$706.68	$975.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42,290.93 / $69,436.14 / $94,358.84	Facility		$42,290.93	$69,436.14	$94,358.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $844.74 / $1,165.93 / $1,662.65	Professional		$844.74	$1,165.93	$1,662.65
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 $766.48 / $1,075.29 / $1,644.24	Professional		$766.48	$1,075.29	$1,644.24