Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,979.91 / $9,972.00 / $20,400.00	Facility		$1,979.91	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,424.31 / $2,034.35 / $2,290.46	Professional		$1,424.31	$2,034.35	$2,290.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,039.68 / $1,732.63 / $2,450.98	Facility		$1,039.68	$1,732.63	$2,450.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,213.67 / $1,660.68 / $1,805.65	Facility		$1,213.67	$1,660.68	$1,805.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,039.68 / $1,957.23 / $2,306.57	Facility		$1,039.68	$1,957.23	$2,306.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,039.76 / $15,838.63 / $18,619.91	Facility		$12,039.76	$15,838.63	$18,619.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00