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 $204.16 / $253.15 / $253.15	Professional		$204.16	$253.15	$253.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.08 / $496.29 / $564.88	Professional		$406.08	$496.29	$564.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $253.15 / $317.07 / $544.27	Facility		$253.15	$317.07	$544.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.20 / $395.55 / $470.34	Facility		$282.20	$395.55	$470.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.15 / $362.00 / $544.27	Facility		$253.15	$362.00	$544.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $298.07 / $298.07 / $447.27	Professional		$298.07	$298.07	$447.27
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 $356.31 / $532.39 / $701.30	Professional		$356.31	$532.39	$701.30
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 $317.22 / $472.73 / $700.05	Professional		$317.22	$472.73	$700.05