Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,107.00 / $13,147.99 / $21,735.00	Facility		$3,107.00	$13,147.99	$21,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.15 / $1,450.09 / $1,450.09	Professional		$1,203.15	$1,450.09	$1,450.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,290.86 / $3,756.01 / $4,171.60	Professional		$3,290.86	$3,756.01	$4,171.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $387.50 / $1,450.09 / $3,117.69	Facility		$387.50	$1,450.09	$3,117.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,491.47 / $4,020.88 / $6,456.06	Facility		$1,491.47	$4,020.88	$6,456.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.50 / $1,450.09 / $3,117.69	Facility		$387.50	$1,450.09	$3,117.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.75 / $1,893.09 / $3,261.93	Professional		$348.75	$1,893.09	$3,261.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,971.35 / $17,821.54 / $22,636.72	Facility		$13,971.35	$17,821.54	$22,636.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,381.52 / $3,870.24 / $4,989.04	Professional		$2,381.52	$3,870.24	$4,989.04
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 $2,017.71 / $2,741.04 / $6,007.37	Professional		$2,017.71	$2,741.04	$6,007.37