Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,357.05 / $1,621.62 / $21,795.40	Facility		$1,357.05	$1,621.62	$21,795.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.62 / $3,596.26 / $62,049.10	Professional		$1,621.62	$3,596.26	$62,049.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,245.22 / $1,829.52 / $21,050.43	Professional		$1,245.22	$1,829.52	$21,050.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $899.01 / $7,933.20 / $27,464.35	Facility		$899.01	$7,933.20	$27,464.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,502.21 / $1,502.21 / $1,502.21	Professional		$1,502.21	$1,502.21	$1,502.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,392.93 / $16,432.22 / $21,584.05	Facility		$1,392.93	$16,432.22	$21,584.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $899.01 / $15,370.30 / $30,093.40	Facility		$899.01	$15,370.30	$30,093.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,349.70 / $12,656.37 / $27,869.15	Professional		$1,349.70	$12,656.37	$27,869.15
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $2,827.43 / $3,597.77 / $351,360.00	Professional	80	$2,827.43	$3,597.77	$351,360.00
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $2,403.31 / $3,058.11 / $298,656.00	Professional	AS	$2,403.31	$3,058.11	$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 $1,305.81 / $2,323.98 / $25,450.80	Professional		$1,305.81	$2,323.98	$25,450.80
United Facility/Professional Professional Modifier Low / Median / High Price $16,751.81 / $21,874.66 / $29,815.68	Professional		$16,751.81	$21,874.66	$29,815.68