Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,352.69 / $6,494.45 / $7,920.26	Facility		$2,352.69	$6,494.45	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,691.63 / $2,385.89 / $2,716.02	Professional		$1,691.63	$2,385.89	$2,716.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,433.98 / $2,236.29 / $3,235.90	Facility		$1,433.98	$2,236.29	$3,235.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,597.40 / $2,060.71 / $2,235.84	Facility		$1,597.40	$2,060.71	$2,235.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,433.98 / $2,389.73 / $3,235.90	Facility		$1,433.98	$2,389.73	$3,235.90
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $422.44 / $422.44 / $422.44	Facility	80	$422.44	$422.44	$422.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $359.08 / $359.08 / $359.08	Facility	AS	$359.08	$359.08	$359.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,914.53 / $5,914.53 / $5,914.53	Facility		$5,914.53	$5,914.53	$5,914.53
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,871.79 / $8,871.79 / $8,871.79	Facility	50	$8,871.79	$8,871.79	$8,871.79
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