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 $1,184.56 / $4,956.30 / $4,956.30	Professional		$1,184.56	$4,956.30	$4,956.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,961.20 / $12,172.81 / $13,855.72	Professional		$9,961.20	$12,172.81	$13,855.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.69 / $4,956.30 / $10,656.05	Facility		$2,691.69	$4,956.30	$10,656.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,265.50 / $8,775.84 / $11,780.61	Facility		$5,265.50	$8,775.84	$11,780.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,691.69 / $4,956.30 / $10,656.05	Facility		$2,691.69	$4,956.30	$10,656.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,322.29 / $7,322.29 / $10,969.83	Professional		$7,322.29	$7,322.29	$10,969.83
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 $8,468.04 / $13,857.16 / $18,444.57	Professional		$8,468.04	$13,857.16	$18,444.57
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 $1,755.90 / $2,340.80 / $14,725.76	Professional		$1,755.90	$2,340.80	$14,725.76