Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $13,042.97 / $59,023.00	Facility		$3,107.00	$13,042.97	$59,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.19 / $2,518.12 / $7,552.23	Professional		$837.19	$2,518.12	$7,552.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17,598.12 / $22,397.60 / $25,597.26	Professional		$17,598.12	$22,397.60	$25,597.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $745.38 / $7,552.23 / $16,237.29	Facility		$745.38	$7,552.23	$16,237.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92,699.07 / $92,699.07 / $92,699.07	Professional		$92,699.07	$92,699.07	$92,699.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $614.20 / $11,522.58 / $19,464.55	Facility		$614.20	$11,522.58	$19,464.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $745.38 / $7,552.23 / $16,237.29	Facility		$745.38	$7,552.23	$16,237.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $670.85 / $11,593.18 / $17,256.33	Professional		$670.85	$11,593.18	$17,256.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,928.40 / $58,697.58 / $69,447.28	Facility		$44,928.40	$58,697.58	$69,447.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12,903.47 / $24,480.72 / $32,053.05	Professional		$12,903.47	$24,480.72	$32,053.05
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 $1,346.21 / $2,035.28 / $37,852.87	Professional		$1,346.21	$2,035.28	$37,852.87