Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,219.78 / $7,920.26	Facility		$2,747.00	$5,219.78	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,771.49 / $5,435.48 / $6,119.80	Professional		$3,771.49	$5,435.48	$6,119.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,203.98 / $4,891.57 / $6,888.56	Facility		$3,203.98	$4,891.57	$6,888.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,218.56 / $4,504.43 / $4,834.72	Facility		$3,218.56	$4,504.43	$4,834.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,203.98 / $5,260.61 / $6,568.98	Facility		$3,203.98	$5,260.61	$6,568.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,199.93 / $12,199.93 / $12,199.93	Facility		$12,199.93	$12,199.93	$12,199.93
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