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 $1,195.74 / $1,511.82 / $2,459.27	Professional		$1,195.74	$1,511.82	$2,459.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,127.67 / $2,583.69 / $2,843.21	Professional		$2,127.67	$2,583.69	$2,843.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,511.82 / $1,587.41 / $3,250.41	Facility		$1,511.82	$1,587.41	$3,250.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,130.58 / $1,644.86 / $2,193.14	Facility		$1,130.58	$1,644.86	$2,193.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,511.82 / $1,893.55 / $3,250.41	Facility		$1,511.82	$1,893.55	$3,250.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,551.07 / $1,551.07 / $2,219.21	Professional		$1,551.07	$1,551.07	$2,219.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,854.64 / $2,657.55 / $3,650.37	Professional		$1,854.64	$2,657.55	$3,650.37
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 $1,729.81 / $2,622.79 / $3,715.74	Professional		$1,729.81	$2,622.79	$3,715.74