Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $7,943.28 / $13,182.57	Facility		$1,318.26	$7,943.28	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,737.80	Professional		$1,023.29	$1,318.26	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $9,332.54	Facility		$741.31	$977.24	$9,332.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,348.96	Facility		$1,071.52	$1,288.25	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $1,621.81	Facility		$660.69	$954.99	$1,621.81
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