Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,116.62 / $14,614.14 / $59,252.00	Facility		$5,116.62	$14,614.14	$59,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.24 / $913.00 / $913.00	Professional		$757.24	$913.00	$913.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.56 / $842.66 / $960.13	Professional		$689.56	$842.66	$960.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $913.00 / $913.00 / $1,962.95	Facility		$913.00	$913.00	$1,962.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $607.52 / $26,861.04 / $36,759.55	Facility		$607.52	$26,861.04	$36,759.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $734.34 / $913.00 / $1,962.95	Facility		$734.34	$913.00	$1,962.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $760.09 / $760.09 / $1,075.42	Professional		$760.09	$760.09	$1,075.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $62,246.10 / $77,972.48 / $94,895.79	Facility		$62,246.10	$77,972.48	$94,895.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $638.97 / $954.74 / $1,359.60	Professional		$638.97	$954.74	$1,359.60
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $57,498.00 / $90,630.00	Facility		$7,425.00	$57,498.00	$90,630.00
United Facility/Professional Professional Modifier Low / Median / High Price $965.97 / $1,471.89 / $1,979.93	Professional		$965.97	$1,471.89	$1,979.93