Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,511.89 / $7,943.28	Facility		$1,348.96	$2,511.89	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,630.27	Professional		$1,584.89	$2,089.30	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $2,951.21	Facility		$1,023.29	$1,548.82	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,137.96	Facility		$1,548.82	$1,995.26	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,511.89	Facility		$1,023.29	$1,479.11	$2,511.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
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