Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,517.12 / $7,920.26	Facility		$2,747.00	$4,517.12	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,929.57 / $4,149.41 / $4,723.56	Professional		$2,929.57	$4,149.41	$4,723.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,147.63 / $3,172.40 / $5,359.22	Facility		$2,147.63	$3,172.40	$5,359.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,310.14 / $3,568.73 / $3,778.80	Facility		$2,310.14	$3,568.73	$3,778.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,147.63 / $3,864.38 / $5,327.61	Facility		$2,147.63	$3,864.38	$5,327.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,869.96 / $9,869.96 / $9,869.96	Facility		$9,869.96	$9,869.96	$9,869.96
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