Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,023.29 / $7,943.28	Facility		$549.54	$1,023.29	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $851.14 / $1,047.13	Professional		$380.19	$851.14	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $602.56 / $1,445.44	Facility		$549.54	$602.56	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $794.33 / $831.76	Facility		$691.83	$794.33	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $575.44 / $1,023.29	Facility		$478.63	$575.44	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
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