Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,072.60 / $15,341.00	Facility		$2,747.00	$6,072.60	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.96 / $1,700.33 / $1,700.33	Professional		$911.96	$1,700.33	$1,700.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,886.06 / $3,464.42 / $3,770.63	Professional		$2,886.06	$3,464.42	$3,770.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,700.33 / $2,431.46 / $3,655.71	Facility		$1,700.33	$2,431.46	$3,655.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,769.20 / $2,420.55 / $2,948.67	Facility		$1,769.20	$2,420.55	$2,948.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,700.33 / $2,651.66 / $3,655.71	Facility		$1,700.33	$2,651.66	$3,655.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,002.26 / $3,018.40 / $3,115.81	Professional		$2,002.26	$3,018.40	$3,115.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,525.10 / $4,318.63 / $5,751.36	Facility		$2,525.10	$4,318.63	$5,751.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,382.60 / $3,611.02 / $4,616.64	Professional		$2,382.60	$3,611.02	$4,616.64
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 $2,139.81 / $3,127.40 / $4,868.60	Professional		$2,139.81	$3,127.40	$4,868.60