Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,962.55 / $8,878.56 / $20,400.00	Facility		$1,962.55	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,428.06 / $2,037.00 / $2,293.46	Professional		$1,428.06	$2,037.00	$2,293.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,167.33 / $1,820.47 / $2,509.78	Facility		$1,167.33	$1,820.47	$2,509.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,246.59 / $1,687.94 / $1,792.25	Facility		$1,246.59	$1,687.94	$1,792.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,167.33 / $1,945.37 / $2,418.59	Facility		$1,167.33	$1,945.37	$2,418.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,567.63 / $4,567.63 / $4,567.63	Facility		$4,567.63	$4,567.63	$4,567.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00