Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $9,549.93 / $17,378.01	Facility		$4,786.30	$9,549.93	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $4,466.84 / $7,585.78	Professional		$616.60	$4,466.84	$7,585.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $21,379.62 / $25,703.96	Professional		$15,848.93	$21,379.62	$25,703.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $6,918.31 / $13,182.57	Facility		$891.25	$6,918.31	$13,182.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $4,466.84 / $11,748.98	Professional		$616.60	$4,466.84	$11,748.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $5,888.44 / $10,232.93	Facility		$457.09	$5,888.44	$10,232.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $4,786.30 / $15,135.61	Facility		$707.95	$4,786.30	$15,135.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $15,848.93	Professional		$79.43	$79.43	$15,848.93
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 $8,128.31 / $21,379.62 / $26,915.35	Professional		$8,128.31	$21,379.62	$26,915.35
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 $645.65 / $2,041.74 / $28,840.32	Professional		$645.65	$2,041.74	$28,840.32