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 $105.46 / $108.11 / $126.69	Professional		$105.46	$108.11	$126.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.05 / $245.06 / $284.29	Professional		$110.05	$245.06	$284.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.69 / $181.17 / $273.89	Facility		$126.69	$181.17	$273.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.92 / $1,487.40 / $2,326.94	Facility		$87.92	$1,487.40	$2,326.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.69 / $181.17 / $1,645,290.12	Facility		$126.69	$181.17	$1,645,290.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.51 / $144.51 / $238.73	Professional		$144.51	$144.51	$238.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,890.74 / $7,379.02 / $9,229.33	Facility		$5,890.74	$7,379.02	$9,229.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $280.72 / $280.72 / $280.72	Professional		$280.72	$280.72	$280.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $211.21 / $308.14	Professional		$154.13	$211.21	$308.14