Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.10 / $7,920.26 / $20,860.75	Facility		$918.10	$7,920.26	$20,860.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $866.39 / $1,237.88 / $1,409.16	Professional		$866.39	$1,237.88	$1,409.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $536.82 / $1,067.39 / $1,604.82	Facility		$536.82	$1,067.39	$1,604.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $771.38 / $1,055.41 / $1,147.71	Facility		$771.38	$1,055.41	$1,147.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $536.82 / $1,164.06 / $1,604.82	Facility		$536.82	$1,164.06	$1,604.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87,501.02 / $109,608.03 / $135,174.41	Facility		$87,501.02	$109,608.03	$135,174.41
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