Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,634.10 / $3,181.66 / $7,920.26	Facility		$2,634.10	$3,181.66	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,070.46 / $2,918.91 / $3,322.80	Professional		$2,070.46	$2,918.91	$3,322.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,744.81 / $2,705.49 / $3,930.10	Facility		$1,744.81	$2,705.49	$3,930.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.63 / $2,522.21 / $2,722.72	Facility		$1,949.63	$2,522.21	$2,722.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,744.81 / $2,907.73 / $3,751.34	Facility		$1,744.81	$2,907.73	$3,751.34
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $514.42 / $514.42 / $514.42	Facility	80	$514.42	$514.42	$514.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $437.27 / $437.27 / $437.27	Facility	AS	$437.27	$437.27	$437.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,211.72 / $7,211.72 / $7,211.72	Facility		$7,211.72	$7,211.72	$7,211.72
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