Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,338.46 / $30,593.00	Facility		$2,747.00	$9,338.46	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.79 / $585.70 / $585.70	Professional		$485.79	$585.70	$585.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $896.37 / $1,095.39 / $1,246.88	Professional		$896.37	$1,095.39	$1,246.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $585.70 / $614.99 / $1,259.26	Facility		$585.70	$614.99	$1,259.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $789.72 / $2,761.37 / $3,631.75	Facility		$789.72	$2,761.37	$3,631.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $585.70 / $733.59 / $1,259.26	Facility		$585.70	$733.59	$1,259.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $689.92 / $689.92 / $987.15	Professional		$689.92	$689.92	$987.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,410.73 / $11,450.46 / $15,515.53	Facility		$8,410.73	$11,450.46	$15,515.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $824.16 / $1,182.14 / $1,622.15	Professional		$824.16	$1,182.14	$1,622.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.72 / $1,096.56 / $1,619.24	Professional		$776.72	$1,096.56	$1,619.24