Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $7,943.28 / $13,182.57	Facility		$1,445.44	$7,943.28	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,819.70	Professional		$1,047.13	$1,380.38	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $7,943.28	Facility		$891.25	$1,380.38	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,445.44	Facility		$1,071.52	$1,380.38	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,737.80	Facility		$776.25	$1,047.13	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $13,182.57	Facility		$8,511.38	$10,964.78	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33