Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,943.28 / $7,943.28	Facility		$1,513.56	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,096.48 / $2,454.71	Professional		$371.54	$1,096.48	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $2,818.38	Professional		$1,819.70	$2,398.83	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $4,570.88	Facility		$1,348.96	$1,659.59	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,148.15 / $2,570.40	Professional		$371.54	$1,148.15	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $2,187.76	Facility		$1,122.02	$1,659.59	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,344.23	Facility		$1,288.25	$1,513.56	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $2,238.72	Professional		$70.79	$79.43	$2,238.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,388.44	Professional		$1,949.84	$2,630.27	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $3,467.37	Professional		$1,445.44	$2,344.23	$3,467.37