Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $6,025.60 / $11,481.54	Facility		$371.54	$6,025.60	$11,481.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $446.68	Professional		$257.04	$338.84	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $363.08 / $6,606.93	Facility		$229.09	$363.08	$6,606.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $380.19	Facility		$309.03	$363.08	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $467.74	Facility		$208.93	$281.84	$467.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,481.54 / $14,125.38	Facility		$8,317.64	$11,481.54	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $16,218.10	Facility		$1,995.26	$10,232.93	$16,218.10