Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.42 / $4,962.67 / $15,341.00	Facility		$440.42	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.07 / $513.66 / $999.54	Professional		$375.07	$513.66	$999.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.29 / $594.24 / $1,292.84	Facility		$269.29	$594.24	$1,292.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $403.79 / $797.87 / $981.42	Facility		$403.79	$797.87	$981.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.29 / $841.16 / $3,601.00	Facility		$269.29	$841.16	$3,601.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00