Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,943.28 / $13,489.63	Facility		$1,862.09	$7,943.28	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,238.72	Professional		$1,230.27	$1,778.28	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $3,981.07	Professional		$2,290.87	$3,235.94	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $13,489.63	Facility		$1,862.09	$2,630.27	$13,489.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $13,489.63	Professional		$1,202.26	$1,862.09	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $2,951.21	Facility		$1,949.84	$2,818.38	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $3,019.95	Facility		$1,659.59	$1,862.09	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $3,162.28	Professional		$79.43	$79.43	$3,162.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $4,677.35	Professional		$2,511.89	$3,548.13	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $4,897.79	Professional		$2,570.40	$3,715.35	$4,897.79