Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,460.80 / $1,726.38 / $28,846.80	Facility		$1,460.80	$1,726.38	$28,846.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.38 / $3,878.77 / $77,321.60	Professional		$1,726.38	$3,878.77	$77,321.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,335.79 / $1,962.58 / $27,688.05	Professional		$1,335.79	$1,962.58	$27,688.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $968.48 / $10,423.56 / $33,814.69	Facility		$968.48	$10,423.56	$33,814.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,582.03 / $1,582.03 / $1,582.03	Professional		$1,582.03	$1,582.03	$1,582.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,492.76 / $21,590.54 / $26,874.37	Facility		$1,492.76	$21,590.54	$26,874.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $968.48 / $19,671.91 / $38,604.00	Facility		$968.48	$19,671.91	$38,604.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,439.78 / $16,619.21 / $36,595.28	Professional		$1,439.78	$16,619.21	$36,595.28
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 $1,381.55 / $2,458.79 / $33,665.62	Professional		$1,381.55	$2,458.79	$33,665.62
United Facility/Professional Professional Modifier Low / Median / High Price $20,857.75 / $28,077.75 / $38,498.51	Professional		$20,857.75	$28,077.75	$38,498.51