Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $7,943.28	Facility		$1,096.48	$1,819.70	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,905.46	Professional		$1,148.15	$1,479.11	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,344.23	Facility		$870.96	$1,096.48	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,513.56	Facility		$1,230.27	$1,445.44	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,862.09	Facility		$831.76	$1,096.48	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52