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 $504.73 / $1,341.91 / $1,341.91	Professional		$504.73	$1,341.91	$1,341.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,657.10 / $2,068.25 / $2,566.64	Professional		$1,657.10	$2,068.25	$2,566.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,341.91 / $1,409.01 / $2,885.11	Facility		$1,341.91	$1,409.01	$2,885.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,491.08 / $3,640.08 / $4,865.99	Facility		$1,491.08	$3,640.08	$4,865.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,341.91 / $1,665.84 / $2,885.11	Facility		$1,341.91	$1,665.84	$2,885.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,670.21 / $2,054.57 / $2,239.96	Professional		$1,670.21	$2,054.57	$2,239.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,963.09 / $17,821.54 / $22,636.72	Facility		$13,963.09	$17,821.54	$22,636.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.55 / $2,307.16 / $2,782.30	Professional		$1,318.55	$2,307.16	$2,782.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,588.62 / $2,381.13 / $2,823.75	Professional		$1,588.62	$2,381.13	$2,823.75