Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,351.75 / $1,617.21 / $21,825.30	Facility		$1,351.75	$1,617.21	$21,825.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,617.21 / $3,570.56 / $55,769.30	Professional		$1,617.21	$3,570.56	$55,769.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,244.78 / $1,828.87 / $21,058.94	Professional		$1,244.78	$1,828.87	$21,058.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $896.07 / $7,935.85 / $24,010.99	Facility		$896.07	$7,935.85	$24,010.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,455.84 / $1,455.84 / $1,455.84	Professional		$1,455.84	$1,455.84	$1,455.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,375.51 / $15,556.06 / $19,413.25	Facility		$1,375.51	$15,556.06	$19,413.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $896.07 / $14,616.30 / $24,010.99	Facility		$896.07	$14,616.30	$24,010.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,341.78 / $12,737.00 / $27,707.00	Professional		$1,341.78	$12,737.00	$27,707.00
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 $1,303.85 / $2,320.53 / $25,487.75	Professional		$1,303.85	$2,320.53	$25,487.75
United Facility/Professional Professional Modifier Low / Median / High Price $14,913.38 / $21,909.84 / $28,618.89	Professional		$14,913.38	$21,909.84	$28,618.89