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 $333.42 / $411.13 / $411.13	Professional		$333.42	$411.13	$411.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $656.48 / $802.28 / $913.22	Professional		$656.48	$802.28	$913.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $411.13 / $514.94 / $883.93	Facility		$411.13	$514.94	$883.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.88 / $639.48 / $763.13	Facility		$457.88	$639.48	$763.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $411.13 / $587.91 / $883.93	Facility		$411.13	$587.91	$883.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $484.26 / $484.26 / $723.04	Professional		$484.26	$484.26	$723.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,410.73 / $11,450.46 / $14,700.82	Facility		$8,410.73	$11,450.46	$14,700.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $578.86 / $864.81 / $1,139.33	Professional		$578.86	$864.81	$1,139.33
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 $528.32 / $731.51 / $1,126.71	Professional		$528.32	$731.51	$1,126.71