Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,374.96 / $2,864.01 / $7,920.26	Facility		$2,374.96	$2,864.01	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,852.16 / $2,610.35 / $2,971.54	Professional		$1,852.16	$2,610.35	$2,971.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,573.75 / $2,454.26 / $3,534.87	Facility		$1,573.75	$2,454.26	$3,534.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,748.56 / $2,256.28 / $2,444.60	Facility		$1,748.56	$2,256.28	$2,444.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,573.75 / $2,622.65 / $3,534.87	Facility		$1,573.75	$2,622.65	$3,534.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,462.84 / $6,462.84 / $6,462.84	Facility		$6,462.84	$6,462.84	$6,462.84
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