Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,887.72 / $7,920.26	Facility		$2,747.00	$5,887.72	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,308.56 / $6,184.06 / $6,962.63	Professional		$4,308.56	$6,184.06	$6,962.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,559.18 / $5,488.29 / $7,652.24	Facility		$3,559.18	$5,488.29	$7,652.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,815.46 / $5,213.34 / $5,646.09	Facility		$3,815.46	$5,213.34	$5,646.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,559.18 / $5,931.37 / $7,616.76	Facility		$3,559.18	$5,931.37	$7,616.76
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,056.49 / $1,056.49 / $1,056.49	Facility	80	$1,056.49	$1,056.49	$1,056.49
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $898.02 / $898.02 / $898.02	Facility	AS	$898.02	$898.02	$898.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,380.81 / $14,380.81 / $14,380.81	Facility		$14,380.81	$14,380.81	$14,380.81
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