Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.27 / $7,920.26 / $11,029.52	Facility		$270.27	$7,920.26	$11,029.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.42 / $272.56 / $310.27	Professional		$194.42	$272.56	$310.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.01 / $273.32 / $688.50	Facility		$164.01	$273.32	$688.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $206.58 / $252.59 / $533.99	Facility		$206.58	$252.59	$533.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.01 / $323.50 / $663.00	Facility		$164.01	$323.50	$663.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,430.26 / $1,430.26 / $1,430.26	Facility		$1,430.26	$1,430.26	$1,430.26
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