Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,366.28 / $2,898.79 / $7,920.26	Facility		$2,366.28	$2,898.79	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,855.72 / $2,619.81 / $2,982.30	Professional		$1,855.72	$2,619.81	$2,982.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,569.98 / $2,394.98 / $3,557.08	Facility		$1,569.98	$2,394.98	$3,557.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,694.39 / $2,260.61 / $2,456.16	Facility		$1,694.39	$2,260.61	$2,456.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,569.98 / $2,616.37 / $3,375.46	Facility		$1,569.98	$2,616.37	$3,375.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,484.15 / $6,484.15 / $6,484.15	Facility		$6,484.15	$6,484.15	$6,484.15
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