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 $77.43 / $93.00 / $93.00	Professional		$77.43	$93.00	$93.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,195.43 / $5,310.61 / $6,042.38	Professional		$4,195.43	$5,310.61	$6,042.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.86 / $93.00 / $199.95	Facility		$43.86	$93.00	$199.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,051.23 / $1,438.25 / $1,752.05	Facility		$1,051.23	$1,438.25	$1,752.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.86 / $93.00 / $199.95	Facility		$43.86	$93.00	$199.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $106.00 / $4,074.84	Professional		$106.00	$106.00	$4,074.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.71 / $221.71 / $5,101.60	Professional		$126.71	$221.71	$5,101.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $171.54 / $2,589.79	Professional		$122.20	$171.54	$2,589.79