Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $13,147.99 / $21,735.00	Facility		$3,107.00	$13,147.99	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.29 / $679.24 / $679.24	Professional		$366.29	$679.24	$679.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,077.83 / $1,345.17 / $1,514.22	Professional		$1,077.83	$1,345.17	$1,514.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $679.24 / $971.31 / $1,490.90	Facility		$679.24	$971.31	$1,490.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $969.73 / $14,445.94 / $20,605.02	Facility		$969.73	$14,445.94	$20,605.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $679.24 / $1,059.27 / $1,490.90	Facility		$679.24	$1,059.27	$1,490.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $800.45 / $1,212.16 / $1,337.62	Professional		$800.45	$1,212.16	$1,337.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45,908.85 / $58,697.58 / $69,447.28	Facility		$45,908.85	$58,697.58	$69,447.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $956.83 / $1,449.82 / $1,853.58	Professional		$956.83	$1,449.82	$1,853.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $900.66 / $1,327.15 / $1,862.43	Professional		$900.66	$1,327.15	$1,862.43