Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,878.56 / $20,400.00	Facility		$2,747.00	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,145.71 / $3,073.41 / $3,460.35	Professional		$2,145.71	$3,073.41	$3,460.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,541.08 / $2,800.40 / $4,039.29	Facility		$1,541.08	$2,800.40	$4,039.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,818.35 / $2,542.06 / $2,706.80	Facility		$1,818.35	$2,542.06	$2,706.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,878.74 / $3,130.92 / $4,039.29	Facility		$1,878.74	$3,130.92	$4,039.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,930.89 / $25,993.66 / $33,611.25	Facility		$22,930.89	$25,993.66	$33,611.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00