Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,214.98 / $2,747.00 / $7,920.26	Facility		$2,214.98	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,773.16 / $2,525.69 / $2,843.69	Professional		$1,773.16	$2,525.69	$2,843.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.93 / $2,204.23 / $3,157.22	Facility		$1,122.93	$2,204.23	$3,157.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,544.39 / $2,152.08 / $2,258.57	Facility		$1,544.39	$2,152.08	$2,258.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.93 / $2,414.30 / $2,878.07	Facility		$1,122.93	$2,414.30	$2,878.07
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $364.43 / $364.43 / $364.43	Facility	AS	$364.43	$364.43	$364.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,868.39 / $5,868.39 / $5,868.39	Facility		$5,868.39	$5,868.39	$5,868.39
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