Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,376.64 / $7,920.26	Facility		$2,747.00	$4,376.64	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,853.32 / $4,100.10 / $4,616.31	Professional		$2,853.32	$4,100.10	$4,616.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,361.48 / $3,630.06 / $5,077.20	Facility		$2,361.48	$3,630.06	$5,077.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,597.89 / $3,431.68 / $3,727.21	Facility		$2,597.89	$3,431.68	$3,727.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,361.48 / $3,935.42 / $5,048.22	Facility		$2,361.48	$3,935.42	$5,048.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,509.70 / $9,509.70 / $9,509.70	Facility		$9,509.70	$9,509.70	$9,509.70
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