Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,846.69 / $2,007.47 / $2,229.21	Facility		$1,846.69	$2,007.47	$2,229.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,007.47 / $2,863.01 / $4,846.14	Professional		$2,007.47	$2,863.01	$4,846.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,448.62 / $2,028.59 / $2,309.28	Professional		$1,448.62	$2,028.59	$2,309.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,214.69 / $1,894.31 / $2,765.69	Facility		$1,214.69	$1,894.31	$2,765.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,065.77 / $2,065.77 / $2,065.77	Professional		$2,065.77	$2,065.77	$2,065.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,386.15 / $1,764.68 / $1,916.87	Facility		$1,386.15	$1,764.68	$1,916.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $879.72 / $2,307.40 / $2,765.69	Facility		$879.72	$2,307.40	$2,765.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,753.36 / $2,262.85 / $2,895.50	Professional		$1,753.36	$2,262.85	$2,895.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,073.35 / $5,073.35 / $5,073.35	Facility		$5,073.35	$5,073.35	$5,073.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,722.08 / $2,265.48 / $2,984.24	Professional		$1,722.08	$2,265.48	$2,984.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,459.65 / $2,062.09 / $2,978.91	Professional		$1,459.65	$2,062.09	$2,978.91