Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $9,972.00 / $20,400.00	Facility		$2,747.00	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,132.23 / $3,027.66 / $3,408.84	Professional		$2,132.23	$3,027.66	$3,408.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,741.30 / $2,715.56 / $3,743.80	Facility		$1,741.30	$2,715.56	$3,743.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,887.61 / $2,557.12 / $2,667.94	Facility		$1,887.61	$2,557.12	$2,667.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,741.30 / $2,967.03 / $3,610.77	Facility		$1,741.30	$2,967.03	$3,610.77
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $503.13 / $503.13 / $503.13	Facility	80	$503.13	$503.13	$503.13
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $427.66 / $427.66 / $427.66	Facility	AS	$427.66	$427.66	$427.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,878.07 / $6,878.07 / $6,878.07	Facility		$6,878.07	$6,878.07	$6,878.07
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