Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.00 / $2,747.00 / $7,920.26	Facility		$1,430.00	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,144.48 / $1,635.45 / $1,841.35	Professional		$1,144.48	$1,635.45	$1,841.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,061.86 / $1,547.21 / $2,283.02	Facility		$1,061.86	$1,547.21	$2,283.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,025.20 / $1,393.19 / $1,463.28	Facility		$1,025.20	$1,393.19	$1,463.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,061.86 / $1,655.99 / $2,032.62	Facility		$1,061.86	$1,655.99	$2,032.62
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $235.34 / $235.34 / $235.34	Facility	AS	$235.34	$235.34	$235.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,769.09 / $3,769.09 / $3,769.09	Facility		$3,769.09	$3,769.09	$3,769.09
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