Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,925.96 / $7,920.26 / $63,216.03	Facility		$4,925.96	$7,920.26	$63,216.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,047.47 / $5,802.52 / $6,533.05	Professional		$4,047.47	$5,802.52	$6,533.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,308.26 / $5,159.22 / $7,198.39	Facility		$3,308.26	$5,159.22	$7,198.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,702.60 / $4,930.55 / $5,306.40	Facility		$3,702.60	$4,930.55	$5,306.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,308.26 / $5,513.22 / $7,112.76	Facility		$3,308.26	$5,513.22	$7,112.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,545.00 / $13,545.00 / $13,545.00	Facility		$13,545.00	$13,545.00	$13,545.00
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