Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.24 / $9,338.46 / $20,400.00	Facility		$804.24	$9,338.46	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.57 / $827.40 / $941.88	Professional		$577.57	$827.40	$941.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $358.81 / $726.92 / $1,067.41	Facility		$358.81	$726.92	$1,067.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $521.58 / $703.58 / $745.89	Facility		$521.58	$703.58	$745.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.47 / $883.71 / $1,067.41	Facility		$496.47	$883.71	$1,067.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $62,246.10 / $77,972.48 / $94,895.79	Facility		$62,246.10	$77,972.48	$94,895.79
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $64,404.00 / $94,117.00	Facility		$7,425.00	$64,404.00	$94,117.00