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 $9,161.17 / $11,045.82 / $11,045.82	Professional		$9,161.17	$11,045.82	$11,045.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,583.23 / $3,156.78 / $3,593.09	Professional		$2,583.23	$3,156.78	$3,593.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $698.68 / $11,045.82 / $23,748.51	Facility		$698.68	$11,045.82	$23,748.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,516.53 / $17,404.49 / $37,366.48	Facility		$2,516.53	$17,404.49	$37,366.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.68 / $11,045.82 / $23,748.51	Facility		$698.68	$11,045.82	$23,748.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,844.84 / $2,844.84 / $13,009.25	Professional		$2,844.84	$2,844.84	$13,009.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45,277.99 / $58,697.58 / $108,049.46	Facility		$45,277.99	$58,697.58	$108,049.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,268.25 / $7,121.58 / $18,872.57	Professional		$3,268.25	$7,121.58	$18,872.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $10,788.58 / $17,807.05 / $23,953.36	Professional		$10,788.58	$17,807.05	$23,953.36