Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,627.00 / $9,003.85 / $13,489.00	Facility		$3,627.00	$9,003.85	$13,489.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.85 / $683.48 / $683.48	Professional		$566.85	$683.48	$683.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $806.61 / $985.68 / $1,122.93	Professional		$806.61	$985.68	$1,122.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $423.72 / $683.48 / $1,469.48	Facility		$423.72	$683.48	$1,469.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.47 / $9,909.43 / $14,428.45	Facility		$380.47	$9,909.43	$14,428.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.72 / $683.48 / $1,469.48	Facility		$423.72	$683.48	$1,469.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $381.35 / $508.46 / $889.06	Professional		$381.35	$508.46	$889.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,175.85 / $35,294.44 / $42,789.49	Facility		$28,175.85	$35,294.44	$42,789.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $701.78 / $1,064.66 / $1,381.28	Professional		$701.78	$1,064.66	$1,381.28
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 $924.04 / $1,176.38 / $1,482.02	Professional		$924.04	$1,176.38	$1,482.02