Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,289.36 / $11,652.00 / $23,856.49	Facility		$2,289.36	$11,652.00	$23,856.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,658.80 / $2,370.05 / $2,668.44	Professional		$1,658.80	$2,370.05	$2,668.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.19 / $2,208.58 / $3,223.86	Facility		$1,202.19	$2,208.58	$3,223.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,408.44 / $1,978.76 / $2,252.54	Facility		$1,408.44	$1,978.76	$2,252.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.19 / $2,411.98 / $2,791.26	Facility		$1,202.19	$2,411.98	$2,791.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $31,052.21 / $38,534.69	Facility		$23,713.19	$31,052.21	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00