Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $15,848.93	Facility		$2,137.96	$2,754.23	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,754.23	Professional		$1,584.89	$2,089.30	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $3,715.35	Facility		$1,071.52	$1,819.70	$3,715.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,137.96	Facility		$1,513.56	$1,995.26	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $2,570.40	Facility		$1,071.52	$1,584.89	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96