Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $13,182.57	Facility		$1,479.11	$2,238.72	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $2,238.72	Professional		$1,000.00	$1,621.81	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,258.93 / $2,187.76	Facility		$758.58	$1,258.93	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $1,819.70	Facility		$1,202.26	$1,698.24	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,905.46	Facility		$776.25	$1,230.27	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $12,589.25	Facility		$1,698.24	$5,754.40	$12,589.25