Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,528.77 / $7,920.26	Facility		$2,747.00	$4,528.77	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,954.90 / $4,187.97 / $4,767.45	Professional		$2,954.90	$4,187.97	$4,767.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,816.16 / $3,569.01 / $5,365.99	Facility		$1,816.16	$3,569.01	$5,365.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,519.73 / $3,599.61 / $3,784.16	Facility		$2,519.73	$3,599.61	$3,784.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,816.16 / $3,892.22 / $5,365.99	Facility		$1,816.16	$3,892.22	$5,365.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,848.76 / $9,848.76 / $9,848.76	Facility		$9,848.76	$9,848.76	$9,848.76
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