Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.17 / $6,072.60 / $18,575.93	Facility		$372.17	$6,072.60	$18,575.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.95 / $432.06 / $486.46	Professional		$301.95	$432.06	$486.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $276.97 / $400.20 / $595.49	Facility		$276.97	$400.20	$595.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.54 / $361.13 / $377.88	Facility		$264.54	$361.13	$377.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.97 / $461.57 / $3,274.00	Facility		$276.97	$461.57	$3,274.00
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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00