Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $13,042.97 / $59,023.00	Facility		$3,107.00	$13,042.97	$59,023.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.05 / $670.75 / $670.75	Professional		$545.05	$670.75	$670.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,524.69 / $1,843.14 / $2,047.08	Professional		$1,524.69	$1,843.14	$2,047.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $670.75 / $858.75 / $1,442.11	Facility		$670.75	$858.75	$1,442.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $693.50 / $897.76 / $32,004.25	Facility		$693.50	$897.76	$32,004.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.75 / $905.20 / $1,442.11	Facility		$670.75	$905.20	$1,442.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $790.03 / $1,030.50 / $1,511.26	Professional		$790.03	$1,030.50	$1,511.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85,727.20 / $109,608.03 / $134,409.53	Facility		$85,727.20	$109,608.03	$134,409.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $944.38 / $1,652.44 / $2,009.44	Professional		$944.38	$1,652.44	$2,009.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $57,498.00 / $90,630.00	Facility		$7,425.00	$57,498.00	$90,630.00
United Facility/Professional Professional Modifier Low / Median / High Price $880.33 / $1,212.54 / $1,935.83	Professional		$880.33	$1,212.54	$1,935.83