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 $1,394.39 / $2,380.96 / $2,380.96	Professional		$1,394.39	$2,380.96	$2,380.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15,301.01 / $18,698.13 / $21,282.98	Professional		$15,301.01	$18,698.13	$21,282.98
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
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 $1,263.03 / $5,825.48 / $7,767.31	Facility		$1,263.03	$5,825.48	$7,767.31
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 / $16,850.22	Professional		$3,152.88	$3,152.88	$16,850.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,236.00 / $5,662.26 / $16,222.22	Professional		$3,236.00	$5,662.26	$16,222.22
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 $2,067.00 / $3,182.39 / $6,633.36	Professional		$2,067.00	$3,182.39	$6,633.36