Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,209.27 / $8,878.56 / $20,400.00	Facility		$3,209.27	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,553.69 / $3,157.29 / $3,799.59	Professional		$2,553.69	$3,157.29	$3,799.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,901.83 / $2,416.44 / $4,575.24	Facility		$1,901.83	$2,416.44	$4,575.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,974.00 / $3,060.85 / $3,238.78	Facility		$1,974.00	$3,060.85	$3,238.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,041.05 / $3,290.00 / $7,339.00	Facility		$2,041.05	$3,290.00	$7,339.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00