Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.85 / $1,207.30 / $19,845.30	Facility		$1,006.85	$1,207.30	$19,845.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.30 / $2,653.59 / $54,937.60	Professional		$1,207.30	$2,653.59	$54,937.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $927.06 / $1,362.06 / $19,093.66	Professional		$927.06	$1,362.06	$19,093.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $666.48 / $7,188.66 / $23,187.26	Facility		$666.48	$7,188.66	$23,187.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.74 / $1,076.74 / $1,076.74	Professional		$1,076.74	$1,076.74	$1,076.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,013.71 / $14,890.04 / $19,095.00	Facility		$1,013.71	$14,890.04	$19,095.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $666.48 / $13,913.75 / $25,854.78	Facility		$666.48	$13,913.75	$25,854.78
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $2,812.11 / $2,812.11 / $2,812.11	Facility	AS	$2,812.11	$2,812.11	$2,812.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $999.24 / $11,664.75 / $25,685.63	Professional		$999.24	$11,664.75	$25,685.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $41,892.06 / $54,410.37 / $65,354.61	Facility	50	$41,892.06	$54,410.37	$65,354.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $976.93 / $1,738.67 / $23,309.45	Professional		$976.93	$1,738.67	$23,309.45
United Facility/Professional Professional Modifier Low / Median / High Price $15,105.04 / $19,095.00 / $27,220.97	Professional		$15,105.04	$19,095.00	$27,220.97