Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,025.60 / $8,709.64	Facility		$1,479.11	$6,025.60	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,513.56	Professional		$831.76	$1,258.93	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $3,162.28	Professional		$2,137.96	$2,754.23	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $7,943.28	Facility		$1,348.96	$1,513.56	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $6,606.93	Professional		$891.25	$1,288.25	$6,606.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $4,570.88	Facility		$2,187.76	$2,630.27	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,290.87	Facility		$1,174.90	$1,513.56	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $16,218.10 / $20,417.38	Facility		$12,589.25	$16,218.10	$20,417.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $3,630.78	Professional		$2,290.87	$2,818.38	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $3,890.45	Professional		$1,949.84	$2,754.23	$3,890.45