Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,943.28 / $13,489.63	Facility		$2,041.74	$7,943.28	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,290.87	Professional		$1,380.38	$1,778.28	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $3,981.07	Professional		$1,949.84	$2,818.38	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $13,489.63	Facility		$1,905.46	$2,630.27	$13,489.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $13,489.63	Professional		$1,380.38	$1,905.46	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,047.13 / $3,090.30	Facility		$812.83	$1,047.13	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,570.40	Facility		$1,096.48	$1,819.70	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $3,162.28	Professional		$79.43	$79.43	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,370.32 / $6,309.57	Facility		$4,168.69	$5,370.32	$6,309.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $4,897.79	Professional		$2,630.27	$3,630.78	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,801.89 / $5,128.61	Professional		$2,630.27	$3,801.89	$5,128.61