Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,698.24 / $7,943.28	Facility		$912.01	$1,698.24	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,445.44 / $1,778.28	Professional		$676.08	$1,445.44	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,949.84	Facility		$912.01	$1,318.26	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,412.54	Facility		$1,096.48	$1,318.26	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,737.80	Facility		$794.33	$1,047.13	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
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