Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $10,347.48 / $32,689.00	Facility		$2,747.00	$10,347.48	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,613.45 / $7,613.45 / $10,622.47	Professional		$7,613.45	$7,613.45	$10,622.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,889.00 / $8,418.64 / $18,932.33	Professional		$6,889.00	$8,418.64	$18,932.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $911.21 / $7,613.45 / $16,368.92	Facility		$911.21	$7,613.45	$16,368.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $750.37 / $7,965.13 / $11,441.51	Facility		$750.37	$7,965.13	$11,441.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $911.21 / $7,613.45 / $16,368.92	Facility		$911.21	$7,613.45	$16,368.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $820.09 / $1,093.45 / $15,155.11	Professional		$820.09	$1,093.45	$15,155.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10,008.00 / $15,165.30 / $19,698.12	Professional		$10,008.00	$15,165.30	$19,698.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $15,091.97 / $21,186.05 / $30,329.43	Professional		$15,091.97	$21,186.05	$30,329.43