Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,943.28 / $7,943.28	Facility		$2,137.96	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,584.89 / $2,137.96	Professional		$549.54	$1,584.89	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,479.11	Professional		$933.25	$1,202.26	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,137.96 / $4,570.88	Facility		$741.31	$2,137.96	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,698.24 / $2,344.23	Professional		$562.34	$1,698.24	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $933.25 / $1,479.11	Facility		$575.44	$933.25	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $3,019.95	Facility		$691.83	$1,380.38	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $1,174.90	Professional		$70.79	$79.43	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $11,748.98	Facility		$7,079.46	$9,772.37	$11,748.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $3,548.13	Professional		$977.24	$1,513.56	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,772.37 / $14,125.38	Facility		$1,995.26	$9,772.37	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,311.31 / $4,897.79	Professional		$1,445.44	$3,311.31	$4,897.79