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 $253.88 / $409.53 / $470.74	Professional		$253.88	$409.53	$470.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.62 / $847.04 / $1,048.85	Professional		$645.62	$847.04	$1,048.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $435.20 / $470.74 / $1,012.09	Facility		$435.20	$470.74	$1,012.09
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 $492.45 / $743.28 / $820.75	Facility		$492.45	$743.28	$820.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.61 / $470.74 / $1,012.09	Facility		$433.61	$470.74	$1,012.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $554.47 / $839.66 / $926.57	Professional		$554.47	$839.66	$926.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $663.34 / $956.11 / $1,160.69	Professional		$663.34	$956.11	$1,160.69
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 $623.53 / $856.81 / $1,278.57	Professional		$623.53	$856.81	$1,278.57