Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $9,549.93 / $17,378.01	Facility		$257.04	$9,549.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $616.60	Professional		$186.21	$257.04	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,621.81	Professional		$616.60	$891.25	$1,621.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $398.11 / $13,182.57	Facility		$257.04	$398.11	$13,182.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $7,079.46	Professional		$181.97	$257.04	$7,079.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,398.83 / $3,548.13	Facility		$331.13	$2,398.83	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $794.33	Facility		$257.04	$363.08	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $1,318.26	Professional		$79.43	$79.43	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,748.98 / $14,791.08	Facility		$8,317.64	$11,748.98	$14,791.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,479.11 / $2,041.74	Professional		$436.52	$1,479.11	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $1,659.59	Professional		$331.13	$478.63	$1,659.59