Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.91 / $687.86 / $691.56	Professional		$529.91	$687.86	$691.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.12 / $1,084.44 / $1,310.91	Professional		$877.12	$1,084.44	$1,310.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $587.83 / $691.56 / $1,486.85	Facility		$587.83	$691.56	$1,486.85
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 $669.33 / $1,009.86 / $1,115.55	Facility		$669.33	$1,009.86	$1,115.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $605.95 / $691.56 / $988.93	Facility		$605.95	$691.56	$988.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $814.95 / $875.46 / $1,142.19	Professional		$814.95	$875.46	$1,142.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,355.14 / $1,826.94 / $2,303.81	Facility		$1,355.14	$1,826.94	$2,303.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $901.60 / $1,186.31 / $1,774.56	Professional		$901.60	$1,186.31	$1,774.56
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 $863.03 / $1,168.70 / $1,769.14	Professional		$863.03	$1,168.70	$1,769.14