Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,866.72 / $13,042.97 / $21,735.00	Facility		$2,866.72	$13,042.97	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,051.53 / $2,963.74 / $3,377.14	Professional		$2,051.53	$2,963.74	$3,377.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,418.85 / $2,612.94 / $4,053.63	Facility		$1,418.85	$2,612.94	$4,053.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,652.66 / $2,351.03 / $2,584.19	Facility		$1,652.66	$2,351.03	$2,584.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,885.41 / $3,065.85 / $9,325.04	Facility		$1,885.41	$3,065.85	$9,325.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
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