Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,943.28 / $30,902.95	Facility		$1,819.70	$7,943.28	$30,902.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,862.09 / $2,290.87	Professional		$851.14	$1,862.09	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $13,489.63	Facility		$1,202.26	$1,862.09	$13,489.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,862.09	Facility		$1,479.11	$1,737.80	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,344.23	Facility		$1,047.13	$1,584.89	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $21,379.62	Facility		$12,882.50	$17,378.01	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68