Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $562.34 / $7,943.28	Facility		$302.00	$562.34	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $467.74 / $575.44	Professional		$208.93	$467.74	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $331.13 / $776.25	Facility		$302.00	$331.13	$776.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $436.52 / $457.09	Facility		$371.54	$436.52	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $309.03 / $562.34	Facility		$263.03	$309.03	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
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