Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,590.85 / $9,003.85 / $13,856.92	Facility		$2,590.85	$9,003.85	$13,856.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,683.64 / $2,379.17 / $2,708.38	Professional		$1,683.64	$2,379.17	$2,708.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,031.76 / $1,980.45 / $2,977.60	Facility		$1,031.76	$1,980.45	$2,977.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,457.40 / $2,050.98 / $2,324.90	Facility		$1,457.40	$2,050.98	$2,324.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,031.76 / $2,118.98 / $2,977.60	Facility		$1,031.76	$2,118.98	$2,977.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,928.40 / $58,697.58 / $69,447.28	Facility		$44,928.40	$58,697.58	$69,447.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $37,152.00 / $65,339.00	Facility		$4,252.00	$37,152.00	$65,339.00