Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.97 / $2,747.00 / $7,920.26	Facility		$1,974.97	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,614.81 / $2,323.48 / $2,616.02	Professional		$1,614.81	$2,323.48	$2,616.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,332.64 / $2,078.25 / $2,884.17	Facility		$1,332.64	$2,078.25	$2,884.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,434.91 / $1,934.08 / $2,087.05	Facility		$1,434.91	$1,934.08	$2,087.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,332.64 / $2,220.84 / $2,865.18	Facility		$1,332.64	$2,220.84	$2,865.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,367.96 / $5,367.96 / $5,367.96	Facility		$5,367.96	$5,367.96	$5,367.96
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