Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,520.86 / $7,920.26	Facility		$2,747.00	$3,520.86	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,300.15 / $3,276.26 / $3,688.74	Professional		$2,300.15	$3,276.26	$3,688.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,123.29 / $3,045.98 / $4,565.07	Facility		$2,123.29	$3,045.98	$4,565.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,986.22 / $2,780.48 / $2,935.27	Facility		$1,986.22	$2,780.48	$2,935.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,123.29 / $3,311.27 / $4,068.94	Facility		$2,123.29	$3,311.27	$4,068.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,529.36 / $7,529.36 / $7,529.36	Facility		$7,529.36	$7,529.36	$7,529.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00