Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.72 / $4,684.68 / $8,728.00	Facility		$384.72	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.03 / $481.95 / $1,228.73	Professional		$328.03	$481.95	$1,228.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.77 / $569.24 / $1,604.99	Facility		$261.77	$569.24	$1,604.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $356.73 / $976.94 / $1,103.02	Facility		$356.73	$976.94	$1,103.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $261.77 / $844.48 / $1,478.15	Facility		$261.77	$844.48	$1,478.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,510.12 / $4,581.20 / $5,196.60	Facility		$3,510.12	$4,581.20	$5,196.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00