Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,959.38 / $7,920.26	Facility		$2,747.00	$5,959.38	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,301.30 / $6,102.64 / $6,870.96	Professional		$4,301.30	$6,102.64	$6,870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,646.48 / $5,790.89 / $8,662.74	Facility		$2,646.48	$5,790.89	$8,662.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,394.02 / $5,239.77 / $5,536.21	Facility		$3,394.02	$5,239.77	$5,536.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,029.18 / $6,283.51 / $7,786.15	Facility		$4,029.18	$6,283.51	$7,786.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,435.82 / $14,435.82 / $14,435.82	Facility		$14,435.82	$14,435.82	$14,435.82
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