Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,338.46 / $30,593.00	Facility		$2,747.00	$9,338.46	$30,593.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,814.10 / $2,136.31 / $2,136.31	Professional		$1,814.10	$2,136.31	$2,136.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,020.04 / $3,690.51 / $4,201.64	Professional		$3,020.04	$3,690.51	$4,201.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,136.31 / $2,675.73 / $4,635.55	Facility		$2,136.31	$2,675.73	$4,635.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,845.80 / $2,711.87 / $3,692.49	Facility		$1,845.80	$2,711.87	$3,692.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,136.31 / $3,054.92 / $4,635.55	Facility		$2,136.31	$3,054.92	$4,635.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,651.41 / $2,651.41 / $3,326.41	Professional		$2,651.41	$2,651.41	$3,326.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $12,623.94	Facility		$7,811.13	$10,179.44	$12,623.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,272.67 / $3,784.64 / $4,835.78	Professional		$2,272.67	$3,784.64	$4,835.78
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 $2,833.56 / $3,889.19 / $4,658.68	Professional		$2,833.56	$3,889.19	$4,658.68