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 $1,348.73 / $1,549.60 / $1,556.76	Professional		$1,348.73	$1,549.60	$1,556.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,691.05 / $3,288.51 / $3,743.09	Professional		$2,691.05	$3,288.51	$3,743.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,457.56 / $1,627.08 / $3,452.80	Facility		$1,457.56	$1,627.08	$3,452.80
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 $944.58 / $1,349.40 / $1,535.56	Facility		$944.58	$1,349.40	$1,535.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,457.56 / $1,940.87 / $3,452.80	Facility		$1,457.56	$1,940.87	$3,452.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,311.80 / $1,749.07 / $2,963.52	Professional		$1,311.80	$1,749.07	$2,963.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,181.69 / $3,404.59 / $4,531.68	Professional		$2,181.69	$3,404.59	$4,531.68
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 $2,054.79 / $2,978.64 / $4,535.96	Professional		$2,054.79	$2,978.64	$4,535.96