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 $324.27 / $668.74 / $668.74	Professional		$324.27	$668.74	$668.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,393.94 / $1,585.92 / $1,755.02	Professional		$1,393.94	$1,585.92	$1,755.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $668.74 / $828.34 / $1,437.79	Facility		$668.74	$828.34	$1,437.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,102.36 / $2,945.90 / $10,387.82	Facility		$1,102.36	$2,945.90	$10,387.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $668.74 / $837.60 / $1,437.79	Facility		$668.74	$837.60	$1,437.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $901.47 / $901.47 / $1,381.60	Professional		$901.47	$901.47	$1,381.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,410.73 / $11,450.46 / $39,974.26	Facility		$8,410.73	$11,450.46	$39,974.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,142.70 / $1,548.28 / $2,566.44	Professional		$1,142.70	$1,548.28	$2,566.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.36 / $714.96 / $2,538.02	Professional		$516.36	$714.96	$2,538.02