Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $77.38 / $77.38	Professional		$35.46	$77.38	$77.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.79 / $209.43 / $961.42	Professional		$167.79	$209.43	$961.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $77.38 / $166.37	Facility		$25.16	$77.38	$166.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $449.31 / $606.74	Facility		$35.39	$449.31	$606.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $77.38 / $166.37	Facility		$25.16	$77.38	$166.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $47.37 / $152.91	Professional		$29.15	$47.37	$152.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,568.64 / $2,136.85 / $2,705.43	Facility		$1,568.64	$2,136.85	$2,705.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $162.02 / $589.66	Professional		$92.60	$162.02	$589.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $96.76 / $181.94	Professional		$67.19	$96.76	$181.94