Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,973.10 / $12,274.80 / $21,735.00	Facility		$2,973.10	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,168.80 / $3,084.62 / $3,472.97	Professional		$2,168.80	$3,084.62	$3,472.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,918.09 / $3,135.36 / $4,384.57	Facility		$1,918.09	$3,135.36	$4,384.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,909.41 / $2,640.47 / $3,092.91	Facility		$1,909.41	$2,640.47	$3,092.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,918.09 / $3,278.50 / $4,123.89	Facility		$1,918.09	$3,278.50	$4,123.89
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $510.19 / $510.19 / $510.19	Facility	80	$510.19	$510.19	$510.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,963.26 / $6,963.26 / $6,963.26	Facility		$6,963.26	$6,963.26	$6,963.26
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