Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.38 / $5,649.00 / $15,341.00	Facility		$222.38	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.59 / $233.79 / $278.43	Professional		$178.59	$233.79	$278.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.53 / $181.70 / $261.94	Facility		$115.53	$181.70	$261.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.81 / $191.08 / $219.76	Facility		$131.81	$191.08	$219.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.81 / $195.64 / $276.31	Facility		$117.81	$195.64	$276.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.51 / $4,868.22 / $5,743.77	Facility		$3,709.51	$4,868.22	$5,743.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,233.00	Facility		$1,689.00	$5,130.00	$7,233.00