Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $602.56 / $7,943.28	Facility		$501.19	$602.56	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $616.60	Professional		$346.74	$457.09	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $794.33	Facility		$295.12	$457.09	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $489.78	Facility		$398.11	$467.74	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $380.19 / $616.60	Facility		$281.84	$380.19	$616.60
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 $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68