Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $7,943.28	Facility		$1,122.02	$2,137.96	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,137.96	Professional		$1,230.27	$1,621.81	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,290.87	Facility		$1,023.29	$1,445.44	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $1,698.24	Facility		$1,380.38	$1,659.59	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,089.30	Facility		$933.25	$1,230.27	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,748.98 / $26,302.68	Facility		$2,137.96	$11,748.98	$26,302.68