Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $7,943.28	Facility		$2,630.27	$4,786.30	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $4,073.80 / $5,011.87	Professional		$1,862.09	$4,073.80	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $5,623.41	Facility		$2,570.40	$3,715.35	$5,623.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $3,981.07	Facility		$2,884.03	$3,801.89	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $4,897.79	Facility		$2,137.96	$2,884.03	$4,897.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52