Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $7,943.28 / $7,943.28	Facility		$93.33	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $1,995.26	Professional		$63.10	$83.18	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $6,309.57	Professional		$4,168.69	$5,248.07	$6,309.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $131.83 / $7,943.28	Facility		$93.33	$131.83	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $3,090.30	Professional		$63.10	$77.62	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $1,737.80	Facility		$1,148.15	$1,737.80	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $93.33 / $1,995.26	Facility		$51.29	$93.33	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $4,073.80	Professional		$79.43	$79.43	$4,073.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $269.15 / $6,309.57	Professional		$134.90	$269.15	$6,309.57
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 $114.82 / $169.82 / $2,570.40	Professional		$114.82	$169.82	$2,570.40