Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,047.13 / $8,709.64	Facility		$346.74	$1,047.13	$8,709.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $933.25	Professional		$263.03	$398.11	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $489.78 / $1,202.26	Facility		$213.80	$489.78	$1,202.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $691.83	Facility		$436.52	$630.96	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $426.58 / $812.83	Facility		$190.55	$426.58	$812.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $6,606.93	Facility		$4,073.80	$5,370.32	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,762.47	Facility		$1,698.24	$5,495.41	$7,762.47