Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,808.42 / $12,274.80 / $21,735.00	Facility		$2,808.42	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.04 / $2,906.44 / $3,308.59	Professional		$2,041.04	$2,906.44	$3,308.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,641.79 / $2,560.37 / $3,546.82	Facility		$1,641.79	$2,560.37	$3,546.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,859.51 / $2,486.36 / $2,615.96	Facility		$1,859.51	$2,486.36	$2,615.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,641.79 / $2,716.89 / $3,529.85	Facility		$1,641.79	$2,716.89	$3,529.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,963.09 / $17,821.54 / $22,636.72	Facility		$13,963.09	$17,821.54	$22,636.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $24,872.00	Facility		$3,028.00	$18,628.00	$24,872.00