Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,664.03 / $2,939.13 / $3,283.38	Facility		$2,664.03	$2,939.13	$3,283.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,664.03 / $3,435.28 / $7,001.33	Professional		$2,664.03	$3,435.28	$7,001.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,474.63 / $2,904.81 / $3,477.49	Professional		$2,474.63	$2,904.81	$3,477.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,854.29 / $2,419.23 / $3,206.29	Facility		$1,854.29	$2,419.23	$3,206.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,724.21 / $2,724.21 / $2,724.21	Professional		$2,724.21	$2,724.21	$2,724.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,846.63 / $2,477.23 / $2,705.46	Facility		$1,846.63	$2,477.23	$2,705.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,870.66 / $2,575.32 / $3,442.70	Facility		$1,870.66	$2,575.32	$3,442.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,483.84 / $2,808.34 / $3,708.10	Professional		$2,483.84	$2,808.34	$3,708.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,467.50 / $3,151.66 / $4,235.85	Professional		$2,467.50	$3,151.66	$4,235.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,901.20 / $2,677.21 / $4,184.20	Professional		$1,901.20	$2,677.21	$4,184.20