Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,627.00 / $9,003.85 / $13,489.00	Facility		$3,627.00	$9,003.85	$13,489.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.48 / $1,221.47 / $1,221.47	Professional		$1,013.48	$1,221.47	$1,221.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,107.35 / $2,575.23 / $2,931.09	Professional		$2,107.35	$2,575.23	$2,931.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,221.47 / $1,282.54 / $2,626.16	Facility		$1,221.47	$1,282.54	$2,626.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,485.26 / $2,265.94 / $17,058.16	Facility		$1,485.26	$2,265.94	$17,058.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,221.47 / $1,529.89 / $2,626.16	Facility		$1,221.47	$1,529.89	$2,626.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,452.77 / $1,452.77 / $2,320.73	Professional		$1,452.77	$1,452.77	$2,320.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,884.37 / $55,621.07 / $69,447.28	Facility		$3,884.37	$55,621.07	$69,447.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,736.59 / $2,774.93 / $3,547.72	Professional		$1,736.59	$2,774.93	$3,547.72
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 $1,667.64 / $2,410.07 / $3,411.92	Professional		$1,667.64	$2,410.07	$3,411.92