Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $7,943.28	Facility		$1,445.44	$2,454.71	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,570.40	Professional		$1,548.82	$1,995.26	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,570.40	Facility		$1,174.90	$1,513.56	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,041.74	Facility		$1,479.11	$1,949.84	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,398.83	Facility		$1,148.15	$1,445.44	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
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