Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $7,943.28 / $13,803.84	Facility		$1,122.02	$7,943.28	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,479.11	Professional		$870.96	$1,148.15	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $851.14 / $1,995.26	Facility		$537.03	$851.14	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,148.15	Facility		$724.44	$1,096.48	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $776.25 / $1,348.96	Facility		$524.81	$776.25	$1,348.96
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 $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50