Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,164.06 / $7,920.26	Facility		$2,747.00	$5,164.06	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,738.14 / $5,295.56 / $6,028.29	Professional		$3,738.14	$5,295.56	$6,028.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,634.29 / $4,704.72 / $6,848.51	Facility		$2,634.29	$4,704.72	$6,848.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,434.14 / $4,553.74 / $4,799.21	Facility		$3,434.14	$4,553.74	$4,799.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,634.29 / $5,164.95 / $6,789.81	Facility		$2,634.29	$5,164.95	$6,789.81
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $918.37 / $918.37 / $918.37	Facility	80	$918.37	$918.37	$918.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $780.62 / $780.62 / $780.62	Facility	AS	$780.62	$780.62	$780.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,609.81 / $12,609.81 / $12,609.81	Facility		$12,609.81	$12,609.81	$12,609.81
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