Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,377.53 / $8,878.56 / $20,400.00	Facility		$2,377.53	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,715.76 / $2,452.16 / $2,760.89	Professional		$1,715.76	$2,452.16	$2,760.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.29 / $2,287.16 / $3,406.22	Facility		$1,584.29	$2,287.16	$3,406.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,505.83 / $2,027.23 / $2,158.73	Facility		$1,505.83	$2,027.23	$2,158.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.29 / $2,553.54 / $3,406.22	Facility		$1,584.29	$2,553.54	$3,406.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00