Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $12,302.69 / $20,892.96	Facility		$1,905.46	$12,302.69	$20,892.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,454.71	Professional		$1,412.54	$1,862.09	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $7,943.28	Facility		$1,047.13	$1,584.89	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $1,949.84	Facility		$1,380.38	$1,778.28	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,187.76	Facility		$977.24	$1,318.26	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,918.31 / $18,197.01	Facility		$3,311.31	$6,918.31	$18,197.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68