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 $382.41 / $461.05 / $461.05	Professional		$382.41	$461.05	$461.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $654.13 / $799.34 / $909.04	Professional		$654.13	$799.34	$909.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $340.77 / $461.05 / $991.26	Facility		$340.77	$461.05	$991.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.23 / $7,436.27 / $13,838.98	Facility		$306.23	$7,436.27	$13,838.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $340.77 / $461.05 / $991.26	Facility		$340.77	$461.05	$991.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.69 / $408.92 / $719.61	Professional		$306.69	$408.92	$719.61
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 $568.58 / $861.53 / $1,119.08	Professional		$568.58	$861.53	$1,119.08
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 $635.46 / $896.20 / $1,161.83	Professional		$635.46	$896.20	$1,161.83