Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $13,147.99 / $21,735.00	Facility		$3,107.00	$13,147.99	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.64 / $1,008.35 / $1,008.35	Professional		$855.64	$1,008.35	$1,008.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,437.89 / $1,830.04 / $2,091.48	Professional		$1,437.89	$1,830.04	$2,091.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $985.17 / $1,008.35 / $2,167.94	Facility		$985.17	$1,008.35	$2,167.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92,699.07 / $92,699.07 / $92,699.07	Professional		$92,699.07	$92,699.07	$92,699.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $906.67 / $31,221.92 / $50,051.42	Facility		$906.67	$31,221.92	$50,051.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $985.17 / $1,008.35 / $2,167.94	Facility		$985.17	$1,008.35	$2,167.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $886.65 / $1,182.20 / $1,398.07	Professional		$886.65	$1,182.20	$1,398.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64,018.55 / $94,686.12 / $123,158.36	Facility		$64,018.55	$94,686.12	$123,158.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,340.21 / $2,002.52 / $2,637.86	Professional		$1,340.21	$2,002.52	$2,637.86
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $57,498.00 / $90,630.00	Facility		$7,425.00	$57,498.00	$90,630.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,363.44 / $1,835.39 / $3,063.67	Professional		$1,363.44	$1,835.39	$3,063.67