Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,943.28 / $13,489.63	Facility		$2,041.74	$7,943.28	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,290.87	Professional		$1,096.48	$1,819.70	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,801.89	Professional		$1,621.81	$2,344.23	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $13,489.63	Facility		$1,862.09	$2,511.89	$13,489.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $13,489.63	Professional		$1,096.48	$1,862.09	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $831.76 / $912.01	Facility		$724.44	$831.76	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $2,951.21	Facility		$1,148.15	$1,862.09	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $3,090.30	Professional		$79.43	$79.43	$3,090.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $4,168.69	Professional		$2,238.72	$3,090.30	$4,168.69
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 $2,344.23 / $3,311.31 / $4,677.35	Professional		$2,344.23	$3,311.31	$4,677.35