Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.26 / $1,331.00 / $1,483.95	Facility		$1,218.26	$1,331.00	$1,483.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,331.00 / $1,905.85 / $3,212.30	Professional		$1,331.00	$1,905.85	$3,212.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $965.15 / $1,365.53 / $1,554.48	Professional		$965.15	$1,365.53	$1,554.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $809.52 / $1,262.45 / $1,953.94	Facility		$809.52	$1,262.45	$1,953.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,457.17 / $1,457.17 / $1,457.17	Professional		$1,457.17	$1,457.17	$1,457.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $914.25 / $1,175.73 / $1,439.10	Facility		$914.25	$1,175.73	$1,439.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $809.52 / $1,718.01 / $8,008.00	Facility		$809.52	$1,718.01	$8,008.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,152.94 / $1,487.96 / $1,903.96	Professional		$1,152.94	$1,487.96	$1,903.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,135.96 / $1,494.41 / $1,968.53	Professional		$1,135.96	$1,494.41	$1,968.53
United Facility/Professional Professional Modifier Low / Median / High Price $955.25 / $1,499.00 / $1,946.75	Professional		$955.25	$1,499.00	$1,946.75