Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.32 / $1,260.01 / $10,098.20	Facility		$1,050.32	$1,260.01	$10,098.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.01 / $2,769.13 / $26,940.70	Professional		$1,260.01	$2,769.13	$26,940.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $967.83 / $1,421.97 / $9,721.28	Professional		$967.83	$1,421.97	$9,721.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $695.14 / $3,678.01 / $13,741.95	Facility		$695.14	$3,678.01	$13,741.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,163.83 / $1,163.83 / $1,163.83	Professional		$1,163.83	$1,163.83	$1,163.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,069.32 / $7,618.35 / $10,374.00	Facility		$1,069.32	$7,618.35	$10,374.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $695.14 / $6,873.97 / $13,979.22	Facility		$695.14	$6,873.97	$13,979.22
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $1,422.11 / $1,422.11 / $1,422.11	Facility	AS	$1,422.11	$1,422.11	$1,422.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,042.14 / $5,898.97 / $12,900.42	Professional		$1,042.14	$5,898.97	$12,900.42
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 $1,019.01 / $1,813.56 / $11,857.96	Professional		$1,019.01	$1,813.56	$11,857.96
United Facility/Professional Professional Modifier Low / Median / High Price $7,589.72 / $10,577.54 / $13,653.20	Professional		$7,589.72	$10,577.54	$13,653.20