Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,750.57 / $7,920.26	Facility		$2,747.00	$3,750.57	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,445.04 / $3,477.55 / $3,915.37	Professional		$2,445.04	$3,477.55	$3,915.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,282.42 / $3,340.80 / $4,907.22	Facility		$2,282.42	$3,340.80	$4,907.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,218.04 / $2,978.49 / $3,132.25	Facility		$2,218.04	$2,978.49	$3,132.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,282.42 / $3,559.45 / $4,404.93	Facility		$2,282.42	$3,559.45	$4,404.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,150.42 / $8,150.42 / $8,150.42	Facility		$8,150.42	$8,150.42	$8,150.42
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