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 $769.08 / $927.33 / $927.33	Professional		$769.08	$927.33	$927.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $692.15 / $845.78 / $962.51	Professional		$692.15	$845.78	$962.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $927.33 / $927.33 / $1,993.76	Facility		$927.33	$927.33	$1,993.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $609.72 / $8,366.14 / $11,581.00	Facility		$609.72	$8,366.14	$11,581.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $737.10 / $927.33 / $1,993.76	Facility		$737.10	$927.33	$1,993.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $762.15 / $762.15 / $1,092.18	Professional		$762.15	$762.15	$1,092.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,539.32 / $27,893.00 / $33,646.87	Facility		$21,539.32	$27,893.00	$33,646.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $601.61 / $954.35 / $1,584.27	Professional		$601.61	$954.35	$1,584.27
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 $959.36 / $1,494.82 / $1,997.52	Professional		$959.36	$1,494.82	$1,997.52