Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $933.25 / $7,943.28	Facility		$537.03	$933.25	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,071.52	Professional		$446.68	$645.65	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $537.03 / $954.99	Facility		$288.40	$537.03	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $758.58 / $831.76	Facility		$489.78	$758.58	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $501.19 / $851.14	Facility		$295.12	$501.19	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,398.83	Facility		$1,412.54	$1,949.84	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,311.31 / $6,165.95	Facility		$389.05	$3,311.31	$6,165.95