Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,673.91 / $8,878.56 / $20,400.00	Facility		$1,673.91	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,233.22 / $1,754.50 / $1,997.27	Professional		$1,233.22	$1,754.50	$1,997.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,016.25 / $1,539.06 / $2,202.92	Facility		$1,016.25	$1,539.06	$2,202.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,101.75 / $1,494.05 / $1,568.08	Facility		$1,101.75	$1,494.05	$1,568.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,016.25 / $1,685.11 / $2,202.92	Facility		$1,016.25	$1,685.11	$2,202.92
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $251.83 / $251.83 / $251.83	Facility	AS	$251.83	$251.83	$251.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00