Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,495.41 / $7,943.28	Facility		$2,884.03	$5,495.41	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,466.84 / $5,623.41	Professional		$3,388.44	$4,466.84	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $6,309.57	Facility		$2,187.76	$3,388.44	$6,309.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $4,677.35	Facility		$3,388.44	$4,265.80	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $5,370.32	Facility		$2,187.76	$3,090.30	$5,370.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility		$11,748.98	$11,748.98	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52