Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,528.03 / $7,920.26	Facility		$2,747.00	$4,528.03	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,955.56 / $4,241.74 / $4,775.77	Professional		$2,955.56	$4,241.74	$4,775.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,442.42 / $3,792.09 / $5,251.20	Facility		$2,442.42	$3,792.09	$5,251.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,701.57 / $3,538.60 / $3,861.88	Facility		$2,701.57	$3,538.60	$3,861.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,442.42 / $4,070.29 / $5,248.15	Facility		$2,442.42	$4,070.29	$5,248.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $614.29 / $614.29 / $614.29	Facility	AS	$614.29	$614.29	$614.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,926.71 / $9,926.71 / $9,926.71	Facility		$9,926.71	$9,926.71	$9,926.71
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