Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,253.89 / $7,920.26	Facility		$2,747.00	$6,253.89	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,569.75 / $6,549.09 / $7,373.62	Professional		$4,569.75	$6,549.09	$7,373.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,774.74 / $5,878.38 / $8,128.62	Facility		$3,774.74	$5,878.38	$8,128.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,183.17 / $5,566.77 / $5,983.77	Facility		$4,183.17	$5,566.77	$5,983.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,774.74 / $6,290.60 / $8,115.69	Facility		$3,774.74	$6,290.60	$8,115.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,287.60 / $15,287.60 / $15,287.60	Facility		$15,287.60	$15,287.60	$15,287.60
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