Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.13 / $9,972.00 / $20,400.00	Facility		$1,479.13	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.00 / $955.47 / $1,554.09	Professional		$719.00	$955.47	$1,554.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.79 / $1,244.39 / $1,385.41	Professional		$600.79	$1,244.39	$1,385.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $641.51 / $1,071.55 / $2,188.73	Facility		$641.51	$1,071.55	$2,188.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $940.42 / $1,203.59 / $1,869.44	Professional		$940.42	$1,203.59	$1,869.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.75 / $1,179.86 / $1,701.00	Facility		$954.75	$1,179.86	$1,701.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $754.72 / $1,555.41 / $8,747.00	Facility		$754.72	$1,555.41	$8,747.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,200.94 / $1,285.53 / $1,765.96	Professional		$1,200.94	$1,285.53	$1,765.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,154.85 / $1,276.03 / $1,806.76	Professional		$1,154.85	$1,276.03	$1,806.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $916.20 / $1,308.44 / $1,932.86	Professional		$916.20	$1,308.44	$1,932.86