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 $354.41 / $2,122.98 / $2,122.98	Professional		$354.41	$2,122.98	$2,122.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,042.90 / $1,301.66 / $1,465.46	Professional		$1,042.90	$1,301.66	$1,465.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,122.98 / $2,122.98 / $4,564.41	Facility		$2,122.98	$2,122.98	$4,564.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $564.63 / $882.00 / $2,880.17	Facility		$564.63	$882.00	$2,880.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,697.25 / $2,122.98 / $4,564.41	Facility		$1,697.25	$2,122.98	$4,564.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,173.06 / $1,173.06 / $4,177.88	Professional		$1,173.06	$1,173.06	$4,177.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $925.97 / $1,405.59 / $2,275.59	Professional		$925.97	$1,405.59	$2,275.59
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 $1,476.58 / $3,256.81 / $4,912.80	Professional		$1,476.58	$3,256.81	$4,912.80