Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,904.21 / $12,274.80 / $21,735.00	Facility		$2,904.21	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,104.42 / $2,996.09 / $3,410.65	Professional		$2,104.42	$2,996.09	$3,410.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,695.33 / $2,643.87 / $3,649.96	Facility		$1,695.33	$2,643.87	$3,649.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,919.10 / $2,563.58 / $2,731.56	Facility		$1,919.10	$2,563.58	$2,731.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,695.33 / $2,804.11 / $3,644.96	Facility		$1,695.33	$2,804.11	$3,644.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00