Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.44 / $7,920.26 / $20,400.00	Facility		$515.44	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.98 / $530.62 / $597.42	Professional		$371.98	$530.62	$597.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $343.54 / $530.92 / $751.59	Facility		$343.54	$530.92	$751.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $373.07 / $453.15 / $531.29	Facility		$373.07	$453.15	$531.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $343.54 / $598.10 / $5,626.00	Facility		$343.54	$598.10	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,198.09 / $20,033.77 / $25,621.76	Facility		$15,198.09	$20,033.77	$25,621.76
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $22,797.14 / $30,050.66 / $38,432.64	Facility	50	$22,797.14	$30,050.66	$38,432.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00