Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.58 / $4,704.00 / $8,728.00	Facility		$272.58	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $177.27 / $647.29	Professional		$90.08	$177.27	$647.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $261.23 / $295.29	Professional		$117.31	$261.23	$295.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.27 / $253.50 / $381.13	Facility		$177.27	$253.50	$381.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $281.25 / $392.55	Professional		$197.47	$281.25	$392.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.13 / $229.14 / $245.89	Facility		$165.13	$229.14	$245.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.27 / $289.08 / $1,644,927.28	Facility		$177.27	$289.08	$1,644,927.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $237.01 / $333.04	Professional		$152.68	$237.01	$333.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.51 / $4,646.71 / $5,743.77	Facility		$3,709.51	$4,646.71	$5,743.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $318.56 / $318.56 / $318.56	Professional		$318.56	$318.56	$318.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.16 / $230.33 / $385.13	Professional		$164.16	$230.33	$385.13