Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,652.52 / $3,228.35 / $7,920.26	Facility		$2,652.52	$3,228.35	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,104.37 / $2,969.43 / $3,380.31	Professional		$2,104.37	$2,969.43	$3,380.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,757.32 / $2,740.54 / $3,989.34	Facility		$1,757.32	$2,740.54	$3,989.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,973.37 / $2,563.51 / $2,728.91	Facility		$1,973.37	$2,563.51	$2,728.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,757.32 / $2,928.57 / $3,778.24	Facility		$1,757.32	$2,928.57	$3,778.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,291.56 / $7,291.56 / $7,291.56	Facility		$7,291.56	$7,291.56	$7,291.56
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