Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,513.48 / $8,878.56 / $20,400.00	Facility		$2,513.48	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,806.88 / $2,545.42 / $2,897.62	Professional		$1,806.88	$2,545.42	$2,897.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,535.18 / $2,394.11 / $3,468.22	Facility		$1,535.18	$2,394.11	$3,468.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,717.55 / $2,201.11 / $2,406.64	Facility		$1,717.55	$2,201.11	$2,406.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,535.18 / $2,626.47 / $3,468.22	Facility		$1,535.18	$2,626.47	$3,468.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00