Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.43 / $7,920.26 / $20,400.00	Facility		$1,373.43	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.87 / $860.31 / $1,979.05	Professional		$563.87	$860.31	$1,979.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,171.11 / $1,371.76 / $1,645.72	Professional		$1,171.11	$1,371.76	$1,645.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $871.93 / $1,136.46 / $1,498.55	Facility		$871.93	$1,136.46	$1,498.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $982.20 / $1,098.64 / $1,664.60	Professional		$982.20	$1,098.64	$1,664.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.75 / $1,173.17 / $1,264.96	Facility		$851.75	$1,173.17	$1,264.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $873.05 / $1,228.89 / $5,217.00	Facility		$873.05	$1,228.89	$5,217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,134.72 / $1,266.80 / $1,728.80	Professional		$1,134.72	$1,266.80	$1,728.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,150.10 / $1,473.58 / $1,980.51	Professional		$1,150.10	$1,473.58	$1,980.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $13,246.00 / $26,830.35	Facility		$2,155.00	$13,246.00	$26,830.35
United Facility/Professional Professional Modifier Low / Median / High Price $889.49 / $1,227.50 / $1,918.46	Professional		$889.49	$1,227.50	$1,918.46