Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,881.86 / $7,920.26	Facility		$2,747.00	$3,881.86	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,524.00 / $3,575.58 / $4,070.32	Professional		$2,524.00	$3,575.58	$4,070.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,134.71 / $3,221.98 / $4,630.78	Facility		$2,134.71	$3,221.98	$4,630.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,332.87 / $2,925.98 / $3,275.56	Facility		$2,332.87	$2,925.98	$3,275.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,134.71 / $3,557.49 / $4,630.78	Facility		$2,134.71	$3,557.49	$4,630.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,578.09 / $8,578.09 / $8,578.09	Facility		$8,578.09	$8,578.09	$8,578.09
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