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 $411.81 / $483.06 / $483.06	Professional		$411.81	$483.06	$483.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.21 / $1,007.17 / $1,146.24	Professional		$824.21	$1,007.17	$1,146.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $447.61 / $592.49 / $1,065.90	Facility		$447.61	$592.49	$1,065.90
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 $323.80 / $438.99 / $477.97	Facility		$323.80	$438.99	$477.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.61 / $605.03 / $1,065.90	Facility		$447.61	$605.03	$1,065.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.85 / $599.32 / $907.58	Professional		$402.85	$599.32	$907.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $715.86 / $1,069.63 / $1,408.99	Professional		$715.86	$1,069.63	$1,408.99
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 $652.59 / $916.16 / $1,437.28	Professional		$652.59	$916.16	$1,437.28