Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,829.43 / $7,920.26 / $20,400.00	Facility		$1,829.43	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,328.51 / $1,892.88 / $2,131.19	Professional		$1,328.51	$1,892.88	$2,131.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,086.91 / $1,695.04 / $2,349.17	Facility		$1,086.91	$1,695.04	$2,349.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,173.94 / $1,583.79 / $1,679.02	Facility		$1,173.94	$1,583.79	$1,679.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,086.91 / $2,016.07 / $7,952.00	Facility		$1,086.91	$2,016.07	$7,952.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00