Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.42 / $2,747.00 / $7,920.26	Facility		$1,555.42	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,253.93 / $1,792.09 / $2,017.71	Professional		$1,253.93	$1,792.09	$2,017.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $931.63 / $1,638.38 / $2,482.21	Facility		$931.63	$1,638.38	$2,482.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,102.15 / $1,478.10 / $1,589.91	Facility		$1,102.15	$1,478.10	$1,589.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,154.52 / $1,800.47 / $2,174.23	Facility		$1,154.52	$1,800.47	$2,174.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,060.12 / $4,060.12 / $4,060.12	Facility		$4,060.12	$4,060.12	$4,060.12
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