Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,887.60 / $7,920.26	Facility		$2,747.00	$4,887.60	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,184.94 / $4,573.38 / $5,149.17	Professional		$3,184.94	$4,573.38	$5,149.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,628.86 / $4,062.33 / $5,652.05	Facility		$2,628.86	$4,062.33	$5,652.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,893.43 / $3,879.83 / $4,168.74	Facility		$2,893.43	$3,879.83	$4,168.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,628.86 / $4,381.00 / $5,630.42	Facility		$2,628.86	$4,381.00	$5,630.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,618.81 / $10,618.81 / $10,618.81	Facility		$10,618.81	$10,618.81	$10,618.81
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