Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,346.33 / $1,881.34 / $1,881.34	Professional		$1,346.33	$1,881.34	$1,881.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,454.70 / $4,221.74 / $4,805.38	Professional		$3,454.70	$4,221.74	$4,805.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,881.34 / $2,356.38 / $4,044.88	Facility		$1,881.34	$2,356.38	$4,044.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,043.63 / $3,560.99 / $3,715.82	Facility		$3,043.63	$3,560.99	$3,715.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,881.34 / $2,690.32 / $4,044.88	Facility		$1,881.34	$2,690.32	$4,044.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,354.69 / $2,354.69 / $3,804.56	Professional		$2,354.69	$2,354.69	$3,804.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,815.26 / $4,370.80 / $5,817.75	Professional		$2,815.26	$4,370.80	$5,817.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,050.88 / $2,975.71 / $5,531.22	Professional		$2,050.88	$2,975.71	$5,531.22