Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,524.96 / $9,972.00 / $20,400.00	Facility		$2,524.96	$9,972.00	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.37 / $1,764.30 / $3,630.44	Professional		$1,013.37	$1,764.30	$3,630.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,151.54 / $2,398.69 / $2,665.22	Professional		$1,151.54	$2,398.69	$2,665.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,190.78 / $1,841.61 / $3,257.19	Facility		$1,190.78	$1,841.61	$3,257.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,734.85 / $1,924.06 / $3,419.91	Professional		$1,734.85	$1,924.06	$3,419.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,580.44 / $2,178.84 / $2,306.14	Facility		$1,580.44	$2,178.84	$2,306.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,452.93 / $2,661.14 / $8,747.00	Facility		$1,452.93	$2,661.14	$8,747.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,019.60 / $2,186.60 / $3,007.22	Professional		$2,019.60	$2,186.60	$3,007.22
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 $2,068.96 / $2,228.41 / $3,118.67	Professional		$2,068.96	$2,228.41	$3,118.67
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 $1,481.75 / $2,146.31 / $3,330.03	Professional		$1,481.75	$2,146.31	$3,330.03