Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.67 / $7,920.26 / $20,400.00	Facility		$1,820.67	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.01 / $1,281.77 / $2,907.45	Professional		$835.01	$1,281.77	$2,907.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,715.33 / $2,009.21 / $2,410.46	Professional		$1,715.33	$2,009.21	$2,410.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,190.25 / $1,669.66 / $2,193.85	Facility		$1,190.25	$1,669.66	$2,193.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,385.67 / $1,622.40 / $2,448.01	Professional		$1,385.67	$1,622.40	$2,448.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,260.18 / $1,742.67 / $1,861.26	Facility		$1,260.18	$1,742.67	$1,861.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,216.89 / $1,823.36 / $3,200.72	Facility		$1,216.89	$1,823.36	$3,200.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,685.12 / $1,876.53 / $2,543.53	Professional		$1,685.12	$1,876.53	$2,543.53
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 $1,691.95 / $2,168.23 / $2,914.12	Professional		$1,691.95	$2,168.23	$2,914.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $22,956.00	Facility		$2,912.00	$16,268.00	$22,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,241.27 / $1,848.71 / $2,848.07	Professional		$1,241.27	$1,848.71	$2,848.07