Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,975.24 / $7,920.26 / $20,400.00	Facility		$1,975.24	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $819.72 / $1,251.83 / $2,840.21	Professional		$819.72	$1,251.83	$2,840.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,672.41 / $1,958.94 / $2,350.16	Professional		$1,672.41	$1,958.94	$2,350.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,189.25 / $1,630.60 / $2,173.44	Facility		$1,189.25	$1,630.60	$2,173.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,450.20 / $1,589.20 / $2,392.98	Professional		$1,450.20	$1,589.20	$2,392.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,243.71 / $1,695.14 / $1,819.72	Facility		$1,243.71	$1,695.14	$1,819.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,189.25 / $1,676.16 / $2,310.01	Facility		$1,189.25	$1,676.16	$2,310.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,646.72 / $1,831.24 / $2,487.41	Professional		$1,646.72	$1,831.24	$2,487.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,656.28 / $2,119.84 / $2,849.08	Professional		$1,656.28	$2,119.84	$2,849.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $24,872.00	Facility		$3,028.00	$20,708.00	$24,872.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,266.65 / $1,850.87 / $2,787.68	Professional		$1,266.65	$1,850.87	$2,787.68