Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.22 / $2,747.00 / $7,920.26	Facility		$1,919.22	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,535.27 / $2,187.81 / $2,463.26	Professional		$1,535.27	$2,187.81	$2,463.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,248.30 / $1,946.72 / $2,683.85	Facility		$1,248.30	$1,946.72	$2,683.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,310.35 / $1,792.78 / $1,926.25	Facility		$1,310.35	$1,792.78	$1,926.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,248.30 / $2,096.53 / $2,606.48	Facility		$1,248.30	$2,096.53	$2,606.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,922.55 / $4,922.55 / $4,922.55	Facility		$4,922.55	$4,922.55	$4,922.55
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