Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,388.44 / $7,943.28	Facility		$1,905.46	$3,388.44	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $3,467.37	Professional		$2,089.30	$2,691.53	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $3,388.44	Facility		$1,659.59	$2,137.96	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $2,754.23	Facility		$1,995.26	$2,570.40	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $3,235.94	Facility		$1,548.82	$1,949.84	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52