Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,744.88 / $5,116.62 / $18,360.00	Facility		$3,744.88	$5,116.62	$18,360.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,999.21 / $4,288.43 / $4,828.35	Professional		$2,999.21	$4,288.43	$4,828.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,175.58 / $3,625.60 / $5,051.00	Facility		$2,175.58	$3,625.60	$5,051.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,598.96 / $3,566.41 / $3,800.24	Facility		$2,598.96	$3,566.41	$3,800.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,175.58 / $4,137.92 / $4,824.24	Facility		$2,175.58	$4,137.92	$4,824.24
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $609.27 / $609.27 / $609.27	Facility	AS	$609.27	$609.27	$609.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,687.19 / $9,687.19 / $9,687.19	Facility		$9,687.19	$9,687.19	$9,687.19
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