Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $10,715.19 / $18,620.87	Facility		$457.09	$10,715.19	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $512.86	Professional		$288.40	$398.11	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $912.01	Professional		$562.34	$741.31	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $512.86 / $13,803.84	Facility		$407.38	$512.86	$13,803.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $8,912.51	Professional		$288.40	$416.87	$8,912.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $6,025.60 / $13,489.63	Facility		$309.03	$6,025.60	$13,489.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $457.09 / $660.69	Facility		$338.84	$457.09	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $724.44	Professional		$79.43	$79.43	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $28,183.83 / $35,481.34	Facility		$21,379.62	$28,183.83	$35,481.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,122.02	Professional		$602.56	$870.96	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $52,480.75	Facility		$3,311.31	$26,302.68	$52,480.75
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,122.02	Professional		$575.44	$831.76	$1,122.02