Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,696.70 / $2,747.00 / $7,920.26	Facility		$1,696.70	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.46 / $1,925.72 / $2,168.16	Professional		$1,350.46	$1,925.72	$2,168.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $861.41 / $1,635.73 / $2,384.35	Facility		$861.41	$1,635.73	$2,384.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,175.76 / $1,610.98 / $1,738.65	Facility		$1,175.76	$1,610.98	$1,738.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $861.41 / $1,852.03 / $2,207.89	Facility		$861.41	$1,852.03	$2,207.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,454.09 / $4,454.09 / $4,454.09	Facility		$4,454.09	$4,454.09	$4,454.09
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