Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.19 / $2,747.00 / $7,920.26	Facility		$306.19	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.26 / $337.52 / $384.22	Professional		$240.26	$337.52	$384.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $202.18 / $315.30 / $453.54	Facility		$202.18	$315.30	$453.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $226.75 / $292.69 / $315.52	Facility		$226.75	$292.69	$315.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.18 / $336.93 / $434.69	Facility		$202.18	$336.93	$434.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $835.81 / $835.81 / $835.81	Facility		$835.81	$835.81	$835.81
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