Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $11,377.08 / $42,921.00	Facility		$2,747.00	$11,377.08	$42,921.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.70 / $1,725.37 / $1,725.37	Professional		$929.70	$1,725.37	$1,725.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,745.20 / $3,426.30 / $3,857.21	Professional		$2,745.20	$3,426.30	$3,857.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,222.11 / $1,725.37 / $3,709.55	Facility		$1,222.11	$1,725.37	$3,709.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,102.68 / $7,976.64 / $11,162.98	Facility		$1,102.68	$7,976.64	$11,162.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,248.34 / $1,725.37 / $3,709.55	Facility		$1,248.34	$1,725.37	$3,709.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,032.16 / $3,087.69 / $3,395.90	Professional		$2,032.16	$3,087.69	$3,395.90
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 $2,429.17 / $3,693.07 / $4,721.55	Professional		$2,429.17	$3,693.07	$4,721.55
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 $2,287.86 / $3,371.23 / $4,772.64	Professional		$2,287.86	$3,371.23	$4,772.64