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 $270.86 / $437.30 / $502.66	Professional		$270.86	$437.30	$502.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.86 / $904.56 / $1,120.10	Professional		$688.86	$904.56	$1,120.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $464.72 / $502.66 / $1,080.72	Facility		$464.72	$502.66	$1,080.72
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 $525.41 / $793.05 / $875.69	Facility		$525.41	$793.05	$875.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.02 / $502.66 / $1,080.72	Facility		$463.02	$502.66	$1,080.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $591.62 / $896.60 / $988.64	Professional		$591.62	$896.60	$988.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $707.74 / $1,020.11 / $1,238.38	Professional		$707.74	$1,020.11	$1,238.38
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 $653.50 / $914.90 / $1,364.16	Professional		$653.50	$914.90	$1,364.16