Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $21,877.62	Facility		$3,630.78	$4,570.88	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $4,570.88	Professional		$2,630.27	$3,467.37	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $6,309.57	Facility		$1,995.26	$3,019.95	$6,309.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,548.13 / $3,715.35	Facility		$2,691.53	$3,548.13	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $4,466.84	Facility		$1,905.46	$2,511.89	$4,466.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52