Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.66 / $4,962.67 / $15,341.00	Facility		$1,466.66	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,434.97 / $2,069.96 / $2,338.61	Professional		$1,434.97	$2,069.96	$2,338.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,192.41 / $1,726.70 / $2,563.67	Facility		$1,192.41	$1,726.70	$2,563.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,186.24 / $1,748.05 / $1,806.32	Facility		$1,186.24	$1,748.05	$1,806.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,192.41 / $2,112.69 / $2,563.67	Facility		$1,192.41	$2,112.69	$2,563.67
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $287.33 / $287.33 / $287.33	Facility	AS	$287.33	$287.33	$287.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $21,113.06 / $24,937.25	Facility		$15,527.70	$21,113.06	$24,937.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00