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 $438.74 / $513.78 / $513.78	Professional		$438.74	$513.78	$513.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.56 / $1,080.96 / $1,230.48	Professional		$884.56	$1,080.96	$1,230.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $513.78 / $643.51 / $1,108.88	Facility		$513.78	$643.51	$1,108.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $625.24 / $952.07 / $8,264.60	Facility		$625.24	$952.07	$8,264.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.78 / $734.71 / $1,108.88	Facility		$513.78	$734.71	$1,108.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $643.26 / $643.26 / $974.12	Professional		$643.26	$643.26	$974.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,539.32 / $27,893.00 / $33,574.44	Facility		$21,539.32	$27,893.00	$33,574.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $769.47 / $1,149.73 / $1,514.50	Professional		$769.47	$1,149.73	$1,514.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.24 / $1,095.59 / $1,577.32	Professional		$695.24	$1,095.59	$1,577.32