Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $10,964.78 / $18,620.87	Facility		$7,943.28	$10,964.78	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $9,120.11 / $12,302.69	Professional		$2,137.96	$9,120.11	$12,302.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $3,548.13	Professional		$1,737.80	$2,511.89	$3,548.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $10,964.78 / $23,442.29	Facility		$1,621.81	$10,964.78	$23,442.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $9,120.11 / $12,302.69	Professional		$4,073.80	$9,120.11	$12,302.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $13,182.57 / $38,018.94	Facility		$2,290.87	$13,182.57	$38,018.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $10,964.78 / $17,378.01	Facility		$794.33	$10,964.78	$17,378.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $2,818.38	Professional		$79.43	$79.43	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $63,095.73 / $107,151.93	Facility		$45,708.82	$63,095.73	$107,151.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $6,606.93 / $19,498.45	Professional		$2,951.21	$6,606.93	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $190,546.07	Facility		$3,311.31	$26,302.68	$190,546.07
United Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $17,378.01 / $25,118.86	Professional		$4,786.30	$17,378.01	$25,118.86