Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,090.81 / $7,920.26	Facility		$2,747.00	$7,090.81	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,124.45 / $7,250.79 / $8,254.07	Professional		$5,124.45	$7,250.79	$8,254.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,525.93 / $6,449.49 / $9,404.10	Facility		$3,525.93	$6,449.49	$9,404.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,081.94 / $6,242.50 / $6,592.80	Facility		$4,081.94	$6,242.50	$6,592.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,525.93 / $7,098.65 / $9,318.87	Facility		$3,525.93	$7,098.65	$9,318.87
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,263.59 / $1,263.59 / $1,263.59	Facility	80	$1,263.59	$1,263.59	$1,263.59
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $1,074.06 / $1,074.06 / $1,074.06	Facility	AS	$1,074.06	$1,074.06	$1,074.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,337.18 / $17,337.18 / $17,337.18	Facility		$17,337.18	$17,337.18	$17,337.18
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