Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,118.29 / $7,920.26 / $20,400.00	Facility		$2,118.29	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,511.67 / $2,177.37 / $2,473.51	Professional		$1,511.67	$2,177.37	$2,473.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,257.07 / $2,015.61 / $3,019.42	Facility		$1,257.07	$2,015.61	$3,019.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,265.35 / $1,778.98 / $1,911.48	Facility		$1,265.35	$1,778.98	$1,911.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,404.38 / $2,305.26 / $5,626.00	Facility		$1,404.38	$2,305.26	$5,626.00
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