Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,801.65 / $14,614.14 / $23,856.49	Facility		$1,801.65	$14,614.14	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,434.32 / $2,047.26 / $2,305.01	Professional		$1,434.32	$2,047.26	$2,305.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.99 / $1,741.48 / $2,489.86	Facility		$1,044.99	$1,741.48	$2,489.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,246.13 / $1,710.33 / $1,821.73	Facility		$1,246.13	$1,710.33	$1,821.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.99 / $2,152.04 / $9,999.15	Facility		$1,044.99	$2,152.04	$9,999.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00