Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $15,848.93	Facility		$1,479.11	$1,862.09	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,778.28	Professional		$1,023.29	$1,348.96	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $11,481.54	Facility		$794.33	$1,096.48	$11,481.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,479.11	Facility		$1,148.15	$1,412.54	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,862.09	Facility		$794.33	$1,174.90	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,054.61 / $38,904.51	Facility		$13,489.63	$19,054.61	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $45,708.82	Facility		$3,019.95	$20,892.96	$45,708.82