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 $1,914.56 / $2,065.19 / $2,209.76	Professional		$1,914.56	$2,065.19	$2,209.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,344.54 / $4,087.05 / $4,652.13	Professional		$3,344.54	$4,087.05	$4,652.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,912.35 / $2,168.44 / $4,901.14	Facility		$1,912.35	$2,168.44	$4,901.14
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 $1,210.80 / $1,771.06 / $2,018.00	Facility		$1,210.80	$1,771.06	$2,018.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,912.35 / $2,586.65 / $4,901.14	Facility		$1,912.35	$2,586.65	$4,901.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,721.12 / $2,294.82 / $3,683.13	Professional		$1,721.12	$2,294.82	$3,683.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,907.31 / $4,344.06 / $5,722.28	Professional		$2,907.31	$4,344.06	$5,722.28
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 $2,696.65 / $4,151.81 / $5,917.67	Professional		$2,696.65	$4,151.81	$5,917.67