Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $13,182.57	Facility		$1,380.38	$1,737.80	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,258.93 / $1,479.11	Professional		$630.96	$1,258.93	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,047.13 / $2,344.23	Facility		$660.69	$1,047.13	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,380.38	Facility		$1,047.13	$1,318.26	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,737.80	Facility		$676.08	$1,000.00	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,413.10	Facility		$4,570.88	$5,888.44	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51