Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $13,489.63 / $33,884.42	Facility		$1,445.44	$13,489.63	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,621.81	Professional		$1,047.13	$1,412.54	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $4,365.16	Professional		$2,884.03	$3,801.89	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $19,054.61	Facility		$1,445.44	$2,454.71	$19,054.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $13,489.63	Professional		$1,047.13	$1,445.44	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,467.37 / $6,456.54	Facility		$1,621.81	$3,467.37	$6,456.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,445.44 / $2,511.89	Facility		$512.86	$1,445.44	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $3,235.94	Professional		$79.43	$79.43	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $18,197.01 / $22,387.21	Facility		$14,125.38	$18,197.01	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $5,011.87	Professional		$2,511.89	$3,890.45	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $5,623.41	Professional		$1,862.09	$2,691.53	$5,623.41