Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,440.00 / $11,652.00 / $23,856.49	Facility		$4,440.00	$11,652.00	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,443.83 / $4,844.56 / $5,514.89	Professional		$3,443.83	$4,844.56	$5,514.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,100.90 / $4,201.45 / $6,316.87	Facility		$2,100.90	$4,201.45	$6,316.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,922.07 / $4,195.21 / $4,498.38	Facility		$2,922.07	$4,195.21	$4,498.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,100.90 / $4,581.93 / $6,316.87	Facility		$2,100.90	$4,581.93	$6,316.87
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $3,353.03 / $3,353.03 / $3,353.03	Facility	62	$3,353.03	$3,353.03	$3,353.03
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $858.37 / $858.37 / $858.37	Facility	80	$858.37	$858.37	$858.37
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