Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,943.28 / $7,943.28	Facility		$2,398.83	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $7,943.28	Professional		$1,737.80	$2,137.96	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $16,982.44 / $21,379.62	Professional		$12,302.69	$16,982.44	$21,379.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $10,232.93	Facility		$2,398.83	$2,951.21	$10,232.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $12,589.25	Professional		$1,659.59	$2,137.96	$12,589.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,309.57 / $7,762.47	Facility		$3,801.89	$6,309.57	$7,762.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $10,232.93	Facility		$2,398.83	$2,951.21	$10,232.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $16,982.44	Professional		$79.43	$79.43	$16,982.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,918.31 / $19,952.62	Professional		$3,235.94	$6,918.31	$19,952.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $8,317.64	Professional		$1,584.89	$2,630.27	$8,317.64