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 $172.44 / $964.51 / $964.51	Professional		$172.44	$964.51	$964.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,015.82 / $1,250.24 / $1,640.14	Professional		$1,015.82	$1,250.24	$1,640.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $964.51 / $993.82 / $2,073.69	Facility		$964.51	$993.82	$2,073.69
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 $619.08 / $877.03 / $1,068.38	Facility		$619.08	$877.03	$1,068.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $964.51 / $993.82 / $2,073.69	Facility		$964.51	$993.82	$2,073.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $854.81 / $854.81 / $1,287.61	Professional		$854.81	$854.81	$1,287.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,015.85 / $1,541.96 / $2,161.53	Professional		$1,015.85	$1,541.96	$2,161.53
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 $1,109.76 / $1,349.12 / $1,915.76	Professional		$1,109.76	$1,349.12	$1,915.76