Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $15,848.93	Facility		$2,290.87	$2,951.21	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,884.03	Professional		$1,047.13	$1,348.96	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $2,344.23	Professional		$1,023.29	$2,089.30	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $3,235.94	Facility		$1,202.26	$1,778.28	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,884.03	Professional		$1,584.89	$1,949.84	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,290.87	Facility		$1,737.80	$2,187.76	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,818.38	Facility		$1,148.15	$1,737.80	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,089.30 / $2,818.38	Professional		$79.43	$2,089.30	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $14,454.40	Facility		$8,912.51	$12,302.69	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $2,951.21	Professional		$2,089.30	$2,398.83	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $3,090.30	Professional		$1,445.44	$2,137.96	$3,090.30