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 $1,119.60 / $1,349.98 / $1,349.98	Professional		$1,119.60	$1,349.98	$1,349.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,298.69 / $2,809.00 / $3,196.40	Professional		$2,298.69	$2,809.00	$3,196.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,349.98 / $1,417.48 / $2,902.46	Facility		$1,349.98	$1,417.48	$2,902.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,411.02 / $1,930.50 / $2,351.69	Facility		$1,411.02	$1,930.50	$2,351.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,349.98 / $1,690.85 / $2,902.46	Facility		$1,349.98	$1,690.85	$2,902.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,590.03 / $1,590.03 / $2,530.65	Professional		$1,590.03	$1,590.03	$2,530.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,645.46 / $3,851.41 / $4,856.64	Facility		$2,645.46	$3,851.41	$4,856.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,900.67 / $3,027.65 / $3,870.81	Professional		$1,900.67	$3,027.65	$3,870.81
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 $1,825.19 / $2,637.77 / $3,699.54	Professional		$1,825.19	$2,637.77	$3,699.54