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 $532.67 / $642.27 / $642.27	Professional		$532.67	$642.27	$642.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.58 / $771.82 / $877.67	Professional		$631.58	$771.82	$877.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $642.27 / $672.60 / $1,380.88	Facility		$642.27	$672.60	$1,380.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $556.48 / $2,761.37 / $3,631.75	Facility		$556.48	$2,761.37	$3,631.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $642.27 / $672.60 / $1,380.88	Facility		$642.27	$672.60	$1,380.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $694.92 / $694.92 / $756.51	Professional		$694.92	$694.92	$756.51
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 $548.54 / $870.17 / $1,136.44	Professional		$548.54	$870.17	$1,136.44
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 $822.81 / $1,052.09 / $1,392.79	Professional		$822.81	$1,052.09	$1,392.79