Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,436.80 / $1,512.42 / $2,690.64	Facility		$1,436.80	$1,512.42	$2,690.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,953.88 / $7,025.13 / $9,587.14	Facility		$4,953.88	$7,025.13	$9,587.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,512.42 / $1,512.42 / $3,251.70	Facility		$1,512.42	$1,512.42	$3,251.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,316.52 / $1,905.75 / $2,892.08	Professional		$1,316.52	$1,905.75	$2,892.08