Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.79 / $7,920.26 / $20,400.00	Facility		$1,956.79	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.71 / $1,251.50 / $3,082.86	Professional		$841.71	$1,251.50	$3,082.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,802.09 / $2,127.56 / $2,552.46	Professional		$1,802.09	$2,127.56	$2,552.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $1,680.32 / $2,216.10	Facility		$1,245.00	$1,680.32	$2,216.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,430.63 / $1,648.38 / $2,543.21	Professional		$1,430.63	$1,648.38	$2,543.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,257.83 / $1,765.45 / $1,959.75	Facility		$1,257.83	$1,765.45	$1,959.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,261.89 / $1,859.77 / $5,217.00	Facility		$1,261.89	$1,859.77	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,687.04 / $1,975.05 / $2,695.60	Professional		$1,687.04	$1,975.05	$2,695.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,742.30 / $2,282.96 / $3,068.33	Professional		$1,742.30	$2,282.96	$3,068.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,304.15 / $1,874.72 / $3,036.50	Professional		$1,304.15	$1,874.72	$3,036.50