Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,562.80 / $7,920.26 / $42,626.98	Facility		$4,562.80	$7,920.26	$42,626.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,686.54 / $5,283.63 / $5,948.84	Professional		$3,686.54	$5,283.63	$5,948.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,976.49 / $4,742.53 / $6,589.11	Facility		$2,976.49	$4,742.53	$6,589.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,427.84 / $4,490.88 / $4,870.89	Facility		$3,427.84	$4,490.88	$4,870.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,064.70 / $5,107.32 / $6,583.79	Facility		$3,064.70	$5,107.32	$6,583.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,572.54 / $12,572.54 / $12,572.54	Facility		$12,572.54	$12,572.54	$12,572.54
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