Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.08 / $2,747.00 / $7,920.26	Facility		$456.08	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.28 / $495.50 / $564.05	Professional		$353.28	$495.50	$564.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $300.82 / $469.13 / $672.91	Facility		$300.82	$469.13	$672.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $335.27 / $430.36 / $469.67	Facility		$335.27	$430.36	$469.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.82 / $501.32 / $646.76	Facility		$300.82	$501.32	$646.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,242.17 / $1,242.17 / $1,242.17	Facility		$1,242.17	$1,242.17	$1,242.17
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