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 $1,741.92 / $2,041.36 / $2,041.36	Professional		$1,741.92	$2,041.36	$2,041.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,007.70 / $2,453.48 / $3,838.29	Professional		$2,007.70	$2,453.48	$3,838.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $894.86 / $2,041.36 / $4,401.49	Facility		$894.86	$2,041.36	$4,401.49
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 $583.63 / $877.63 / $982.26	Facility		$583.63	$877.63	$982.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $894.86 / $2,041.36 / $4,401.49	Facility		$894.86	$2,041.36	$4,401.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $805.37 / $1,362.53 / $3,072.59	Professional		$805.37	$1,362.53	$3,072.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,131.89 / $3,231.13 / $4,196.05	Professional		$2,131.89	$3,231.13	$4,196.05
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 $2,431.91 / $3,184.81 / $4,426.89	Professional		$2,431.91	$3,184.81	$4,426.89