Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $8,912.51 / $13,803.84	Facility		$870.96	$8,912.51	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $4,570.88 / $11,481.54	Professional		$707.95	$4,570.88	$11,481.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $5,623.41 / $12,589.25	Facility		$575.44	$5,623.41	$12,589.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $9,120.11 / $10,471.29	Facility		$6,309.57	$9,120.11	$10,471.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $5,011.87 / $12,589.25	Facility		$501.19	$5,011.87	$12,589.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,054.61 / $38,904.51	Facility		$13,489.63	$19,054.61	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $45,708.82	Facility		$3,019.95	$20,892.96	$45,708.82