Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $7,943.28	Facility		$1,479.11	$1,862.09	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,778.28	Professional		$1,047.13	$1,348.96	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,258.93 / $2,398.83	Facility		$776.25	$1,258.93	$2,398.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,445.44	Facility		$1,071.52	$1,380.38	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,819.70	Facility		$776.25	$1,122.02	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96