Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $13,489.63 / $33,884.42	Facility		$7,585.78	$13,489.63	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $2,570.40 / $11,748.98	Professional		$501.19	$2,570.40	$11,748.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $23,442.29 / $28,183.83	Professional		$17,378.01	$23,442.29	$28,183.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $9,772.37 / $19,054.61	Facility		$1,905.46	$9,772.37	$19,054.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $7,079.46 / $13,489.63	Professional		$707.95	$7,079.46	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $10,964.78 / $18,620.87	Facility		$645.65	$10,964.78	$18,620.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $7,585.78 / $16,595.87	Facility		$891.25	$7,585.78	$16,595.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $17,378.01	Professional		$79.43	$79.43	$17,378.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,668.36 / $58,884.37 / $72,443.60	Facility		$44,668.36	$58,884.37	$72,443.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $24,547.09 / $30,902.95	Professional		$12,882.50	$24,547.09	$30,902.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $79,432.82	Facility		$3,311.31	$26,302.68	$79,432.82
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,862.09 / $30,902.95	Professional		$977.24	$1,862.09	$30,902.95