Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $10,347.48 / $32,689.00	Facility		$2,747.00	$10,347.48	$32,689.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.22 / $2,042.16 / $2,042.16	Professional		$987.22	$2,042.16	$2,042.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,292.28 / $7,814.62 / $8,931.00	Professional		$6,292.28	$7,814.62	$8,931.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $723.09 / $2,042.16 / $4,390.64	Facility		$723.09	$2,042.16	$4,390.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,881.91 / $9,310.94 / $13,768.06	Facility		$2,881.91	$9,310.94	$13,768.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $711.29 / $2,042.16 / $4,390.64	Facility		$711.29	$2,042.16	$4,390.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,252.56 / $4,019.67 / $6,446.97	Professional		$1,252.56	$4,019.67	$6,446.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,032.84 / $27,652.65 / $38,534.69	Facility		$15,032.84	$27,652.65	$38,534.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,579.16 / $4,512.93 / $7,691.83	Professional		$2,579.16	$4,512.93	$7,691.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,761.21 / $3,990.47 / $5,286.93	Professional		$2,761.21	$3,990.47	$5,286.93