Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,972.00 / $20,400.00	Facility		$2,747.00	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.01 / $2,042.35 / $4,652.84	Professional		$1,128.01	$2,042.35	$4,652.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,331.71 / $2,776.05 / $3,084.50	Professional		$1,331.71	$2,776.05	$3,084.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,331.71 / $2,132.79 / $3,563.56	Facility		$1,331.71	$2,132.79	$3,563.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,004.30 / $2,226.89 / $3,959.73	Professional		$2,004.30	$2,226.89	$3,959.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,803.69 / $2,523.89 / $2,635.11	Facility		$1,803.69	$2,523.89	$2,635.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,683.16 / $3,081.91 / $8,343.00	Facility		$1,683.16	$3,081.91	$8,343.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,229.71 / $2,531.75 / $3,483.43	Professional		$2,229.71	$2,531.75	$3,483.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.34 / $13,653.30 / $19,565.63	Facility		$10,762.34	$13,653.30	$19,565.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,395.54 / $2,579.26 / $3,612.55	Professional		$2,395.54	$2,579.26	$3,612.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,715.05 / $2,448.55 / $3,428.79	Professional		$1,715.05	$2,448.55	$3,428.79