Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,275.19 / $8,878.56 / $20,400.00	Facility		$2,275.19	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,654.06 / $2,364.59 / $2,662.28	Professional		$1,654.06	$2,364.59	$2,662.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,414.11 / $2,123.55 / $3,040.34	Facility		$1,414.11	$2,123.55	$3,040.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,460.28 / $1,981.38 / $2,111.84	Facility		$1,460.28	$1,981.38	$2,111.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,414.11 / $2,356.61 / $3,040.34	Facility		$1,414.11	$2,356.61	$3,040.34
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $401.63 / $401.63 / $401.63	Facility	80	$401.63	$401.63	$401.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
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