Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $13,489.63 / $33,884.42	Facility		$1,348.96	$13,489.63	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,348.96	Professional		$691.83	$1,047.13	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $2,570.40	Professional		$1,778.28	$2,290.87	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $19,054.61	Facility		$1,122.02	$1,380.38	$19,054.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $13,489.63	Professional		$776.25	$1,096.48	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,162.28 / $4,786.30	Facility		$1,479.11	$3,162.28	$4,786.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,348.96 / $2,454.71	Facility		$407.38	$1,348.96	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $2,041.74	Professional		$79.43	$79.43	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,197.01 / $22,387.21	Facility		$13,803.84	$18,197.01	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $2,818.38	Professional		$1,380.38	$2,137.96	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,884.03	Professional		$1,412.54	$2,041.74	$2,884.03