Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $9,549.93 / $17,378.01	Facility		$5,011.87	$9,549.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,466.84 / $5,370.32	Professional		$3,467.37	$4,466.84	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,585.78 / $13,803.84	Professional		$5,370.32	$7,585.78	$13,803.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,309.57 / $13,182.57	Facility		$4,786.30	$6,309.57	$13,182.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,466.84 / $8,128.31	Professional		$3,467.37	$4,466.84	$8,128.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,762.47 / $10,232.93	Facility		$5,011.87	$7,762.47	$10,232.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,011.87 / $7,762.47	Facility		$3,981.07	$5,011.87	$7,762.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $10,964.78	Professional		$79.43	$79.43	$10,964.78
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 $8,511.38 / $10,964.78 / $17,782.79	Professional		$8,511.38	$10,964.78	$17,782.79
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 $1,348.96 / $2,238.72 / $7,585.78	Professional		$1,348.96	$2,238.72	$7,585.78