Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.49 / $5,649.00 / $15,341.00	Facility		$1,514.49	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,107.70 / $1,584.21 / $1,783.66	Professional		$1,107.70	$1,584.21	$1,783.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $980.38 / $1,472.48 / $2,107.82	Facility		$980.38	$1,472.48	$2,107.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $962.22 / $1,294.94 / $1,382.88	Facility		$962.22	$1,294.94	$1,382.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $980.38 / $1,656.68 / $3,274.00	Facility		$980.38	$1,656.68	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00