Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,383.87 / $2,978.09 / $7,920.26	Facility		$2,383.87	$2,978.09	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,943.79 / $2,794.64 / $3,146.49	Professional		$1,943.79	$2,794.64	$3,146.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,606.07 / $2,479.90 / $3,453.05	Facility		$1,606.07	$2,479.90	$3,453.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,764.99 / $2,341.12 / $2,535.94	Facility		$1,764.99	$2,341.12	$2,535.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,606.07 / $2,676.52 / $3,431.20	Facility		$1,606.07	$2,676.52	$3,431.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,493.02 / $6,493.02 / $6,493.02	Facility		$6,493.02	$6,493.02	$6,493.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00