Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.91 / $9,972.00 / $20,400.00	Facility		$611.91	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $539.91 / $769.86 / $866.79	Professional		$539.91	$769.86	$866.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $497.49 / $725.73 / $1,069.59	Facility		$497.49	$725.73	$1,069.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $479.17 / $652.58 / $680.68	Facility		$479.17	$652.58	$680.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.49 / $829.07 / $7,952.00	Facility		$497.49	$829.07	$7,952.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,127.57 / $20,033.77 / $25,621.76	Facility		$15,127.57	$20,033.77	$25,621.76
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