Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,613.81 / $3,177.89 / $7,920.26	Facility		$2,613.81	$3,177.89	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,068.38 / $2,939.09 / $3,309.12	Professional		$2,068.38	$2,939.09	$3,309.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,930.85 / $2,984.11 / $4,151.33	Facility		$1,930.85	$2,984.11	$4,151.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,853.64 / $2,519.66 / $2,669.00	Facility		$1,853.64	$2,519.66	$2,669.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,930.85 / $3,178.07 / $4,151.33	Facility		$1,930.85	$3,178.07	$4,151.33
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $506.60 / $506.60 / $506.60	Facility	80	$506.60	$506.60	$506.60
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $430.61 / $430.61 / $430.61	Facility	AS	$430.61	$430.61	$430.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,947.30 / $6,947.30 / $6,947.30	Facility		$6,947.30	$6,947.30	$6,947.30
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