Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $17,378.01 / $39,810.72	Facility		$1,737.80	$17,378.01	$39,810.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,905.46 / $2,454.71	Professional		$851.14	$1,905.46	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $25,118.86	Facility		$1,258.93	$2,089.30	$25,118.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $2,187.76	Facility		$1,621.81	$1,862.09	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,570.40	Facility		$977.24	$1,380.38	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57,543.99 / $77,624.71 / $97,723.72	Facility		$57,543.99	$77,624.71	$97,723.72
United Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $51,286.14 / $97,723.72	Facility		$21,379.62	$51,286.14	$97,723.72