Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $21,877.62	Facility		$1,621.81	$2,089.30	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,995.26	Professional		$1,148.15	$1,513.56	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,380.38 / $2,818.38	Facility		$812.83	$1,380.38	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,621.81	Facility		$1,174.90	$1,548.82	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,995.26	Facility		$831.76	$1,202.26	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,302.69	Facility		$7,413.10	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40