Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,257.13 / $2,791.00 / $7,920.26	Facility		$2,257.13	$2,791.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,812.05 / $2,601.21 / $2,928.71	Professional		$1,812.05	$2,601.21	$2,928.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,568.33 / $2,273.52 / $3,371.91	Facility		$1,568.33	$2,273.52	$3,371.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,575.59 / $2,120.89 / $2,320.21	Facility		$1,575.59	$2,120.89	$2,320.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,568.33 / $2,613.62 / $3,371.91	Facility		$1,568.33	$2,613.62	$3,371.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,769.02 / $5,769.02 / $5,769.02	Facility		$5,769.02	$5,769.02	$5,769.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00