Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $13,182.57	Facility		$1,949.84	$2,511.89	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $2,691.53	Professional		$870.96	$1,023.29	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,398.83	Professional		$1,548.82	$2,041.74	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,290.87	Facility		$977.24	$1,479.11	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,511.89	Professional		$1,412.54	$1,659.59	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $1,949.84	Facility		$1,288.25	$1,778.28	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,137.96	Facility		$977.24	$1,412.54	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,778.28 / $2,630.27	Professional		$79.43	$1,778.28	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,754.23	Professional		$1,548.82	$1,995.26	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,570.40	Professional		$1,202.26	$1,778.28	$2,570.40