Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.59 / $7,920.26 / $20,400.00	Facility		$1,555.59	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,136.44 / $1,405.05 / $1,695.01	Professional		$1,136.44	$1,405.05	$1,695.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $826.40 / $1,050.02 / $1,919.69	Facility		$826.40	$1,050.02	$1,919.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $944.23 / $1,339.33 / $1,432.46	Facility		$944.23	$1,339.33	$1,432.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $866.23 / $1,419.11 / $6,437.00	Facility		$866.23	$1,419.11	$6,437.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00