Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.16 / $2,747.00 / $7,920.26	Facility		$670.16	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.92 / $740.74 / $843.23	Professional		$524.92	$740.74	$843.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $321.23 / $635.99 / $956.21	Facility		$321.23	$635.99	$956.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $469.37 / $639.46 / $672.68	Facility		$469.37	$639.46	$672.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.23 / $693.59 / $956.21	Facility		$321.23	$693.59	$956.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,747.90 / $1,747.90 / $1,747.90	Facility		$1,747.90	$1,747.90	$1,747.90
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