Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $9,549.93 / $11,748.98	Facility		$6,309.57	$9,549.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $6,165.95 / $14,454.40	Professional		$3,467.37	$6,165.95	$14,454.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $9,772.37 / $12,022.64	Professional		$4,570.88	$9,772.37	$12,022.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $13,803.84	Facility		$5,754.40	$7,413.10	$13,803.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $8,912.51 / $14,125.38	Professional		$6,309.57	$8,912.51	$14,125.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $9,120.11 / $9,772.37	Facility		$6,309.57	$9,120.11	$9,772.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,760.83 / $12,022.64	Facility		$5,370.32	$6,760.83	$12,022.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $7,943.28 / $13,182.57	Professional		$79.43	$7,943.28	$13,182.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $25,703.96 / $25,703.96	Facility		$25,703.96	$25,703.96	$25,703.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $11,481.54 / $15,135.61	Professional		$8,912.51	$11,481.54	$15,135.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $10,232.93 / $14,125.38	Professional		$6,309.57	$10,232.93	$14,125.38