Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $13,489.63 / $33,884.42	Facility		$1,548.82	$13,489.63	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,548.82	Professional		$831.76	$1,258.93	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,388.44	Professional		$2,238.72	$2,884.03	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $19,054.61	Facility		$1,288.25	$1,584.89	$19,054.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $13,489.63	Professional		$912.01	$1,258.93	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,162.28 / $5,623.41	Facility		$1,174.90	$3,162.28	$5,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,548.82 / $2,398.83	Facility		$302.00	$1,548.82	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $2,691.53	Professional		$79.43	$416.87	$2,691.53
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 $1,698.24 / $2,630.27 / $3,467.37	Professional		$1,698.24	$2,630.27	$3,467.37
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 $1,621.81 / $2,511.89 / $3,311.31	Professional		$1,621.81	$2,511.89	$3,311.31