Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,704.00 / $8,728.00	Facility		$988.00	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $250.48 / $300.99	Professional		$137.24	$250.48	$300.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.14 / $304.72 / $365.58	Professional		$260.14	$304.72	$365.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.24 / $300.99 / $430.42	Facility		$249.24	$300.99	$430.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.22 / $253.62 / $275.37	Facility		$165.22	$253.62	$275.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.24 / $300.99 / $430.42	Facility		$249.24	$300.99	$430.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.95 / $281.95 / $341.56	Professional		$281.95	$281.95	$341.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $368.52 / $497.41 / $913.26	Facility		$368.52	$497.41	$913.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $222.02 / $337.23 / $472.40	Professional		$222.02	$337.23	$472.40
United Facility/Professional Professional Modifier Low / Median / High Price $197.79 / $198.65 / $627.34	Professional		$197.79	$198.65	$627.34