Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,228.18 / $9,228.18 / $9,228.18	Facility		$9,228.18	$9,228.18	$9,228.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $103.40 / $147.65	Professional		$94.00	$103.40	$147.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.90 / $212.80 / $276.76	Professional		$172.90	$212.80	$276.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.65 / $184.93 / $1,016.10	Facility		$147.65	$184.93	$1,016.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $167.84 / $223.78	Facility		$119.58	$167.84	$223.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.65 / $211.14 / $1,016.10	Facility		$147.65	$211.14	$1,016.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.16 / $167.16 / $213.35	Professional		$167.16	$167.16	$213.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $274.05 / $355.98	Professional		$180.86	$274.05	$355.98
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $322.60 / $449.07	Professional		$229.40	$322.60	$449.07