Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $80.39 / $90.84	Professional		$52.95	$80.39	$90.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $164.73 / $197.63	Professional		$141.13	$164.73	$197.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.38 / $87.55 / $145.91	Facility		$34.38	$87.55	$145.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $39.65 / $39.65	Professional		$39.65	$39.65	$39.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.69 / $64.55 / $71.34	Facility		$29.69	$64.55	$71.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.38 / $87.55 / $141.26	Facility		$34.38	$87.55	$141.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $72.77 / $132.50	Professional		$37.50	$72.77	$132.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.48 / $125.24 / $153.24	Facility		$95.48	$125.24	$153.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $145.72 / $199.80	Professional		$85.78	$145.72	$199.80
United Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $154.69 / $226.53	Professional		$106.08	$154.69	$226.53