Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,189.23 / $2,747.00 / $7,920.26	Facility		$2,189.23	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,668.30 / $2,347.50 / $2,672.32	Professional		$1,668.30	$2,347.50	$2,672.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,450.97 / $2,202.48 / $3,276.62	Facility		$1,450.97	$2,202.48	$3,276.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,631.80 / $2,032.29 / $2,258.57	Facility		$1,631.80	$2,032.29	$2,258.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,450.97 / $2,418.04 / $3,119.59	Facility		$1,450.97	$2,418.04	$3,119.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,013.90 / $6,013.90 / $6,013.90	Facility		$6,013.90	$6,013.90	$6,013.90
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