Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.08 / $1,397.15 / $21,448.80	Facility		$1,168.08	$1,397.15	$21,448.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.15 / $3,079.48 / $61,857.80	Professional		$1,397.15	$3,079.48	$61,857.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,069.93 / $1,571.98 / $20,627.34	Professional		$1,069.93	$1,571.98	$20,627.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $774.07 / $7,768.15 / $27,881.70	Facility		$774.07	$7,768.15	$27,881.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.52 / $1,284.52 / $1,284.52	Professional		$1,284.52	$1,284.52	$1,284.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,191.26 / $16,090.33 / $21,501.64	Facility		$1,191.26	$16,090.33	$21,501.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $774.07 / $15,290.89 / $29,576.07	Facility		$774.07	$15,290.89	$29,576.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,157.64 / $12,504.16 / $27,533.99	Professional		$1,157.64	$12,504.16	$27,533.99
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $2,782.38 / $3,446.68 / $351,360.00	Professional	80	$2,782.38	$3,446.68	$351,360.00
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $2,365.03 / $2,929.68 / $298,656.00	Professional	AS	$2,365.03	$2,929.68	$298,656.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $65,643.02	Facility		$27,928.04	$36,273.58	$65,643.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,125.18 / $2,002.52 / $25,045.27	Professional		$1,125.18	$2,002.52	$25,045.27
United Facility/Professional Professional Modifier Low / Median / High Price $16,366.92 / $21,865.17 / $29,340.59	Professional		$16,366.92	$21,865.17	$29,340.59