Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $9,549.93 / $17,378.01	Facility		$2,398.83	$9,549.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $7,585.78	Professional		$1,000.00	$2,187.76	$7,585.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,585.78 / $13,182.57	Professional		$5,370.32	$7,585.78	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $14,125.38	Facility		$2,398.83	$3,388.44	$14,125.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,290.87 / $7,943.28	Professional		$1,000.00	$2,290.87	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,754.40 / $7,079.46	Facility		$4,073.80	$5,754.40	$7,079.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $6,025.60	Facility		$2,398.83	$3,162.28	$6,025.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $10,471.29	Professional		$79.43	$79.43	$10,471.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $36,307.81 / $45,708.82	Facility		$28,183.83	$36,307.81	$45,708.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $7,943.28 / $13,182.57	Professional		$3,801.89	$7,943.28	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $52,480.75	Facility		$3,311.31	$26,302.68	$52,480.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $7,762.47	Professional		$1,584.89	$2,630.27	$7,762.47