Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.49 / $7,920.26 / $20,400.00	Facility		$465.49	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.14 / $479.01 / $539.32	Professional		$335.14	$479.01	$539.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.32 / $448.05 / $662.89	Facility		$308.32	$448.05	$662.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $296.02 / $404.68 / $425.36	Facility		$296.02	$404.68	$425.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.32 / $513.82 / $5,626.00	Facility		$308.32	$513.82	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,277.96 / $10,794.36 / $14,018.87	Facility		$8,277.96	$10,794.36	$14,018.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00