Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.98 / $2,747.00 / $7,920.26	Facility		$446.98	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.77 / $491.70 / $559.73	Professional		$348.77	$491.70	$559.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $296.31 / $446.43 / $646.99	Facility		$296.31	$446.43	$646.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $324.13 / $424.86 / $457.64	Facility		$324.13	$424.86	$457.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.31 / $493.17 / $637.07	Facility		$296.31	$493.17	$637.07
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $73.61 / $73.61 / $73.61	Facility	AS	$73.61	$73.61	$73.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,192.46 / $1,192.46 / $1,192.46	Facility		$1,192.46	$1,192.46	$1,192.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00