Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.10 / $7,920.26 / $13,320.00	Facility		$579.10	$7,920.26	$13,320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.98 / $789.44 / $898.67	Professional		$550.98	$789.44	$898.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $342.35 / $693.45 / $1,012.26	Facility		$342.35	$693.45	$1,012.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.47 / $671.19 / $711.96	Facility		$489.47	$671.19	$711.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $470.82 / $841.62 / $1,012.26	Facility		$470.82	$841.62	$1,012.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,175.85 / $35,294.44 / $42,789.49	Facility		$28,175.85	$35,294.44	$42,789.49
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