Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,081.57 / $4,962.67 / $15,341.00	Facility		$1,081.57	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $938.80 / $1,168.34 / $1,490.08	Professional		$938.80	$1,168.34	$1,490.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $717.29 / $1,144.57 / $1,548.23	Facility		$717.29	$1,144.57	$1,548.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $701.24 / $1,130.53 / $1,245.53	Facility		$701.24	$1,130.53	$1,245.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $717.29 / $1,278.34 / $2,327.00	Facility		$717.29	$1,278.34	$2,327.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
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