Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.19 / $3,938.00 / $10,382.81	Facility		$533.19	$3,938.00	$10,382.81
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $247.33 / $295.16 / $1,607.51	Facility	52	$247.33	$295.16	$1,607.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $453.76 / $1,177.51 / $3,100.55	Professional		$453.76	$1,177.51	$3,100.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $364.73 / $1,177.51 / $3,458.72	Facility		$364.73	$1,177.51	$3,458.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.72 / $2,035.51 / $2,580.17	Facility		$467.72	$2,035.51	$2,580.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $364.73 / $2,075.44 / $3,458.72	Facility		$364.73	$2,075.44	$3,458.72
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