Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $812.83 / $7,943.28	Facility		$446.68	$812.83	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $691.83 / $831.76	Professional		$302.00	$691.83	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $489.78 / $1,148.15	Facility		$446.68	$489.78	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $676.08	Facility		$549.54	$645.65	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $812.83	Facility		$380.19	$457.09	$812.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52