Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,012.50 / $4,659.16 / $7,920.26	Facility		$2,012.50	$4,659.16	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,375.38 / $4,784.35 / $5,446.35	Professional		$3,375.38	$4,784.35	$5,446.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,846.90 / $4,248.16 / $6,155.24	Facility		$2,846.90	$4,248.16	$6,155.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,091.11 / $4,111.83 / $4,364.92	Facility		$3,091.11	$4,111.83	$4,364.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,846.90 / $4,712.66 / $6,120.84	Facility		$2,846.90	$4,712.66	$6,120.84
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $828.57 / $828.57 / $828.57	Facility	80	$828.57	$828.57	$828.57
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $704.28 / $704.28 / $704.28	Facility	AS	$704.28	$704.28	$704.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,355.25 / $11,355.25 / $11,355.25	Facility		$11,355.25	$11,355.25	$11,355.25
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