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 $1,741.59 / $1,854.48 / $1,954.57	Professional		$1,741.59	$1,854.48	$1,954.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,897.20 / $3,540.45 / $4,029.84	Professional		$2,897.20	$3,540.45	$4,029.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,854.48 / $2,322.73 / $4,453.78	Facility		$1,854.48	$2,322.73	$4,453.78
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 $1,776.84 / $2,431.00 / $2,961.40	Facility		$1,776.84	$2,431.00	$2,961.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,854.48 / $2,651.91 / $4,453.78	Facility		$1,854.48	$2,651.91	$4,453.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,184.37 / $2,184.37 / $3,190.59	Professional		$2,184.37	$2,184.37	$3,190.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,393.42 / $3,665.45 / $4,878.89	Professional		$2,393.42	$3,665.45	$4,878.89
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 $2,828.08 / $3,842.64 / $4,906.18	Professional		$2,828.08	$3,842.64	$4,906.18