Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.94 / $2,747.00 / $7,920.26	Facility		$1,894.94	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,565.55 / $2,257.46 / $2,541.69	Professional		$1,565.55	$2,257.46	$2,541.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,280.34 / $1,952.48 / $2,752.75	Facility		$1,280.34	$1,952.48	$2,752.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,387.12 / $1,866.62 / $2,040.15	Facility		$1,387.12	$1,866.62	$2,040.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,280.34 / $2,133.69 / $2,702.75	Facility		$1,280.34	$2,133.69	$2,702.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,078.72 / $5,078.72 / $5,078.72	Facility		$5,078.72	$5,078.72	$5,078.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $10,234.00 / $36,803.00	Facility		$2,446.00	$10,234.00	$36,803.00