Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $8,728.00	Facility		$2,747.00	$6,629.40	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,020.42 / $3,943.31 / $7,580.00	Professional		$3,020.42	$3,943.31	$7,580.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,112.99 / $6,381.46 / $7,184.04	Professional		$5,112.99	$6,381.46	$7,184.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $420.66 / $3,943.31 / $8,520.78	Facility		$420.66	$3,943.31	$8,520.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $564.96 / $1,078.74 / $2,257.67	Facility		$564.96	$1,078.74	$2,257.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.99 / $3,943.31 / $8,726.10	Facility		$205.99	$3,943.31	$8,726.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $235.88 / $2,334.77 / $5,750.74	Professional		$235.88	$2,334.77	$5,750.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,050.30 / $5,124.10 / $6,421.06	Facility		$4,050.30	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,983.42 / $6,967.57 / $9,442.96	Professional		$4,983.42	$6,967.57	$9,442.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,487.11 / $7,780.29 / $9,791.06	Professional		$5,487.11	$7,780.29	$9,791.06