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 $385.23 / $451.54 / $451.54	Professional		$385.23	$451.54	$451.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $778.68 / $951.56 / $1,083.21	Professional		$778.68	$951.56	$1,083.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $451.54 / $565.54 / $973.59	Facility		$451.54	$565.54	$973.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $502.50 / $758.57 / $837.50	Facility		$502.50	$758.57	$837.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.54 / $645.70 / $997.05	Facility		$451.54	$645.70	$997.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $566.25 / $566.25 / $857.50	Professional		$566.25	$566.25	$857.50
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 $677.42 / $1,012.18 / $1,333.32	Professional		$677.42	$1,012.18	$1,333.32
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 $610.48 / $857.02 / $1,318.56	Professional		$610.48	$857.02	$1,318.56