Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $11,550.30	Facility		$2,747.00	$7,920.26	$11,550.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,327.55 / $6,370.92 / $25,186.60	Professional		$3,327.55	$6,370.92	$25,186.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,521.42 / $10,638.39 / $12,110.40	Professional		$7,521.42	$10,638.39	$12,110.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,814.76 / $9,110.42 / $13,955.27	Facility		$5,814.76	$9,110.42	$13,955.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.76 / $9,649.28 / $15,351.12	Professional		$6,309.76	$9,649.28	$15,351.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,066.06 / $9,162.45 / $9,788.70	Facility		$6,066.06	$9,162.45	$9,788.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,814.76 / $10,617.14 / $13,955.27	Facility		$5,814.76	$10,617.14	$13,955.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,918.90 / $11,455.16 / $14,830.97	Professional		$7,918.90	$11,455.16	$14,830.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25,870.92 / $25,870.92 / $25,870.92	Facility		$25,870.92	$25,870.92	$25,870.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,856.43 / $11,651.04 / $15,347.52	Professional		$8,856.43	$11,651.04	$15,347.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,470.84 / $10,424.87 / $15,320.15	Professional		$7,470.84	$10,424.87	$15,320.15