Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,378.35 / $2,900.65 / $7,920.26	Facility		$2,378.35	$2,900.65	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,877.38 / $2,647.59 / $3,013.94	Professional		$1,877.38	$2,647.59	$3,013.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,575.49 / $2,456.98 / $3,579.30	Facility		$1,575.49	$2,456.98	$3,579.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,763.10 / $2,286.98 / $2,468.28	Facility		$1,763.10	$2,286.98	$2,468.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,575.49 / $2,625.55 / $3,387.30	Facility		$1,575.49	$2,625.55	$3,387.30
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $396.10 / $396.10 / $396.10	Facility	AS	$396.10	$396.10	$396.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,528.50 / $6,528.50 / $6,528.50	Facility		$6,528.50	$6,528.50	$6,528.50
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