Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,614.75 / $7,920.26 / $26,392.61	Facility		$2,614.75	$7,920.26	$26,392.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,916.45 / $2,765.73 / $3,113.93	Professional		$1,916.45	$2,765.73	$3,113.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,576.61 / $2,400.78 / $3,394.38	Facility		$1,576.61	$2,400.78	$3,394.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,614.83 / $2,300.11 / $2,492.40	Facility		$1,614.83	$2,300.11	$2,492.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,578.78 / $2,631.04 / $3,329.38	Facility		$1,578.78	$2,631.04	$3,329.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,296.06 / $6,296.06 / $6,296.06	Facility		$6,296.06	$6,296.06	$6,296.06
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