Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $13,803.84	Facility		$1,412.54	$1,862.09	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,737.80	Professional		$1,071.52	$1,445.44	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,949.84	Facility		$724.44	$1,202.26	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,479.11	Facility		$1,148.15	$1,380.38	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,737.80	Facility		$724.44	$1,202.26	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33