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 $173.52 / $475.89 / $573.78	Professional		$173.52	$475.89	$573.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.66 / $578.63 / $716.52	Professional		$440.66	$578.63	$716.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $448.35 / $573.78 / $1,233.63	Facility		$448.35	$573.78	$1,233.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $344.92 / $507.34 / $560.12	Facility		$344.92	$507.34	$560.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.54 / $573.78 / $1,233.63	Facility		$416.54	$573.78	$1,233.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $573.50 / $573.50 / $1,130.20	Professional		$573.50	$573.50	$1,130.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $453.24 / $685.94 / $954.97	Professional		$453.24	$685.94	$954.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.14 / $929.08 / $1,327.89	Professional		$700.14	$929.08	$1,327.89