Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.82 / $1,670.91 / $27,495.30	Facility		$1,399.82	$1,670.91	$27,495.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,670.91 / $3,700.69 / $79,555.60	Professional		$1,670.91	$3,700.69	$79,555.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,282.11 / $1,883.72 / $26,353.83	Professional		$1,282.11	$1,883.72	$26,353.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $926.84 / $9,922.27 / $37,673.69	Facility		$926.84	$9,922.27	$37,673.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,550.89 / $1,550.89 / $1,550.89	Professional		$1,550.89	$1,550.89	$1,550.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,425.45 / $20,552.21 / $27,978.53	Facility		$1,425.45	$20,552.21	$27,978.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $926.84 / $19,605.80 / $37,767.96	Facility		$926.84	$19,605.80	$37,767.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,392.60 / $16,022.16 / $35,280.58	Professional		$1,392.60	$16,022.16	$35,280.58
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $3,579.34 / $4,544.21 / $351,360.00	Professional	80	$3,579.34	$4,544.21	$351,360.00
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $3,042.44 / $3,862.58 / $298,656.00	Professional	AS	$3,042.44	$3,862.58	$298,656.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,928.40 / $58,697.58 / $69,447.28	Facility		$44,928.40	$58,697.58	$69,447.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,349.83 / $2,402.34 / $32,078.56	Professional		$1,349.83	$2,402.34	$32,078.56
United Facility/Professional Facility Modifier Low / Median / High Price $54,583.64 / $54,583.64 / $67,441.66	Facility		$54,583.64	$54,583.64	$67,441.66
United Facility/Professional Professional Modifier Low / Median / High Price $21,456.26 / $28,577.59 / $37,580.12	Professional		$21,456.26	$28,577.59	$37,580.12