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 $1,872.08 / $2,036.10 / $2,101.11	Professional		$1,872.08	$2,036.10	$2,101.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,894.21 / $3,536.73 / $4,025.67	Professional		$2,894.21	$3,536.73	$4,025.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,036.10 / $2,550.21 / $4,787.43	Facility		$2,036.10	$2,550.21	$4,787.43
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 $2,020.85 / $2,819.55 / $3,368.09	Facility		$2,020.85	$2,819.55	$3,368.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,036.10 / $2,911.62 / $4,787.43	Facility		$2,036.10	$2,911.62	$4,787.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,398.17 / $2,398.17 / $3,187.16	Professional		$2,398.17	$2,398.17	$3,187.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,722.66 / $3,812.86 / $5,358.84	Professional		$2,722.66	$3,812.86	$5,358.84
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 $2,983.24 / $3,958.52 / $5,506.37	Professional		$2,983.24	$3,958.52	$5,506.37