Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,943.28 / $13,803.84	Facility		$2,344.23	$7,943.28	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,089.30 / $2,691.53	Professional		$933.25	$2,089.30	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $13,803.84	Facility		$1,380.38	$2,344.23	$13,803.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,344.23	Facility		$1,737.80	$2,041.74	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,691.53	Facility		$933.25	$1,380.38	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,668.36 / $58,884.37 / $72,443.60	Facility		$44,668.36	$58,884.37	$72,443.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $51,286.14 / $79,432.82	Facility		$4,265.80	$51,286.14	$79,432.82