Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.01 / $258.69 / $258.69	Professional		$185.01	$258.69	$258.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.51 / $600.65 / $660.98	Professional		$510.51	$600.65	$660.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.69 / $324.01 / $556.17	Facility		$258.69	$324.01	$556.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.32 / $861.69 / $1,157.76	Facility		$309.32	$861.69	$1,157.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.82 / $403.43 / $556.17	Facility		$254.82	$403.43	$556.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.54 / $293.54 / $504.21	Professional		$293.54	$293.54	$504.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,783.54 / $3,817.11 / $4,583.52	Facility		$2,783.54	$3,817.11	$4,583.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $402.88 / $544.80 / $792.96	Professional		$402.88	$544.80	$792.96
United Facility/Professional Professional Modifier Low / Median / High Price $286.19 / $410.40 / $784.17	Professional		$286.19	$410.40	$784.17