Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.83 / $9,972.00 / $20,400.00	Facility		$1,030.83	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.57 / $1,063.69 / $1,198.84	Professional		$740.57	$1,063.69	$1,198.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $541.36 / $902.18 / $1,211.60	Facility		$541.36	$902.18	$1,211.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $604.09 / $838.84 / $940.01	Facility		$604.09	$838.84	$940.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $541.36 / $971.19 / $1,195.33	Facility		$541.36	$971.19	$1,195.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,216.41 / $2,216.41 / $2,216.41	Facility		$2,216.41	$2,216.41	$2,216.41
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