Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,072.60 / $15,341.00	Facility		$2,747.00	$6,072.60	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.29 / $1,770.90 / $1,770.90	Professional		$960.29	$1,770.90	$1,770.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,866.53 / $3,577.72 / $4,027.69	Professional		$2,866.53	$3,577.72	$4,027.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $697.98 / $1,770.90 / $3,807.44	Facility		$697.98	$1,770.90	$3,807.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,660.26 / $2,534.46 / $3,392.25	Facility		$1,660.26	$2,534.46	$3,392.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $709.56 / $1,770.90 / $3,807.44	Facility		$709.56	$1,770.90	$3,807.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,224.20 / $3,224.20 / $3,224.20	Professional		$3,224.20	$3,224.20	$3,224.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,670.96 / $10,952.22 / $13,806.81	Facility		$8,670.96	$10,952.22	$13,806.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,668.35 / $3,856.35 / $4,930.30	Professional		$3,668.35	$3,856.35	$4,930.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,397.00 / $3,571.99 / $5,000.33	Professional		$2,397.00	$3,571.99	$5,000.33