Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $7,943.28	Facility		$2,187.76	$3,630.78	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $3,715.35	Professional		$2,238.72	$2,951.21	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $3,890.45	Facility		$1,412.54	$2,398.83	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,019.95	Facility		$2,187.76	$2,884.03	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $3,630.78	Facility		$1,380.38	$2,187.76	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
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