Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,338.46 / $30,593.00	Facility		$2,747.00	$9,338.46	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,394.39 / $2,380.96 / $7,662.23	Professional		$1,394.39	$2,380.96	$7,662.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10,214.85 / $12,153.95 / $13,374.71	Professional		$10,214.85	$12,153.95	$13,374.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,380.96 / $2,982.16 / $5,119.09	Facility		$2,380.96	$2,982.16	$5,119.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,818.29 / $5,988.86 / $10,701.93	Facility		$2,818.29	$5,988.86	$10,701.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,380.96 / $3,168.11 / $5,119.09	Facility		$2,380.96	$3,168.11	$5,119.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,152.88 / $3,152.88 / $10,589.10	Professional		$3,152.88	$3,152.88	$10,589.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,768.84 / $6,594.60 / $13,261.24	Professional		$3,768.84	$6,594.60	$13,261.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.07 / $2,614.35 / $7,725.60	Professional		$2,068.07	$2,614.35	$7,725.60