Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.94 / $7,920.26 / $20,400.00	Facility		$775.94	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $554.26 / $794.17 / $904.05	Professional		$554.26	$794.17	$904.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.40 / $697.58 / $1,034.75	Facility		$344.40	$697.58	$1,034.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $506.79 / $675.19 / $724.88	Facility		$506.79	$675.19	$724.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $481.28 / $852.12 / $1,034.75	Facility		$481.28	$852.12	$1,034.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50,935.38 / $63,804.13 / $77,170.59	Facility		$50,935.38	$63,804.13	$77,170.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $25,156.00 / $35,693.00	Facility		$3,340.00	$25,156.00	$35,693.00