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 $648.79 / $4,811.24 / $4,811.24	Professional		$648.79	$4,811.24	$4,811.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16,231.83 / $20,658.68 / $23,609.93	Professional		$16,231.83	$20,658.68	$23,609.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $581.60 / $4,811.24 / $11,488.76	Facility		$581.60	$4,811.24	$11,488.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $419.74 / $7,707.42 / $10,701.93	Facility		$419.74	$7,707.42	$10,701.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $581.60 / $4,811.24 / $11,488.76	Facility		$581.60	$4,811.24	$11,488.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $523.44 / $7,328.18 / $15,788.29	Professional		$523.44	$7,328.18	$15,788.29
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 $8,220.32 / $18,985.06 / $23,397.44	Professional		$8,220.32	$18,985.06	$23,397.44
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 $1,077.08 / $2,039.13 / $35,370.71	Professional		$1,077.08	$2,039.13	$35,370.71