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 $1,824.79 / $2,255.59 / $2,255.59	Professional		$1,824.79	$2,255.59	$2,255.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,480.43 / $5,383.61 / $5,924.34	Professional		$4,480.43	$5,383.61	$5,924.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,762.27 / $2,464.16 / $4,849.52	Facility		$1,762.27	$2,464.16	$4,849.52
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 $1,384.98 / $2,194.63 / $2,438.51	Facility		$1,384.98	$2,194.63	$2,438.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,762.27 / $2,825.13 / $4,849.52	Facility		$1,762.27	$2,825.13	$4,849.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,586.04 / $2,559.00 / $4,518.68	Professional		$1,586.04	$2,559.00	$4,518.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,330.23 / $5,192.00 / $6,910.81	Professional		$3,330.23	$5,192.00	$6,910.81
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 $2,721.87 / $3,735.89 / $7,738.07	Professional		$2,721.87	$3,735.89	$7,738.07