Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,172.16 / $7,920.26	Facility		$2,747.00	$4,172.16	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,705.77 / $3,813.04 / $4,340.64	Professional		$2,705.77	$3,813.04	$4,340.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,295.38 / $3,579.65 / $5,071.35	Facility		$2,295.38	$3,579.65	$5,071.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,543.63 / $3,296.10 / $3,546.31	Facility		$2,543.63	$3,296.10	$3,546.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,295.38 / $3,825.25 / $5,071.35	Facility		$2,295.38	$3,825.25	$5,071.35
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,632.33 / $2,632.33 / $2,632.33	Facility	62	$2,632.33	$2,632.33	$2,632.33
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $673.88 / $673.88 / $673.88	Facility	80	$673.88	$673.88	$673.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,396.16 / $9,396.16 / $9,396.16	Facility		$9,396.16	$9,396.16	$9,396.16
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