Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,564.46 / $2,747.00 / $7,920.26	Facility		$1,564.46	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,246.99 / $1,775.85 / $1,999.43	Professional		$1,246.99	$1,775.85	$1,999.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,157.80 / $1,802.05 / $2,489.27	Facility		$1,157.80	$1,802.05	$2,489.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,108.91 / $1,519.07 / $1,595.28	Facility		$1,108.91	$1,519.07	$1,595.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,157.80 / $1,906.51 / $2,489.27	Facility		$1,157.80	$1,906.51	$2,489.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,148.84 / $4,148.84 / $4,148.84	Facility		$4,148.84	$4,148.84	$4,148.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00