Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $8,369.76 / $30,593.00	Facility		$1,758.00	$8,369.76	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.68 / $551.14 / $568.07	Professional		$413.68	$551.14	$568.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.63 / $918.00 / $1,161.15	Professional		$739.63	$918.00	$1,161.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $523.58 / $578.70 / $1,351.24	Facility		$523.58	$578.70	$1,351.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.48 / $731.77 / $907.18	Facility		$529.48	$731.77	$907.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.58 / $567.66 / $1,351.24	Facility		$523.58	$567.66	$1,351.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $612.00 / $929.53	Professional		$612.00	$612.00	$929.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $171.08 / $1,354.42 / $1,769.44	Facility		$171.08	$1,354.42	$1,769.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $733.19 / $1,063.43 / $1,420.35	Professional		$733.19	$1,063.43	$1,420.35
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.10 / $1,124.70 / $1,684.76	Professional		$803.10	$1,124.70	$1,684.76