Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.59 / $7,920.26 / $20,400.00	Facility		$492.59	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.59 / $498.57 / $567.54	Professional		$354.59	$498.57	$567.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.21 / $433.33 / $651.51	Facility		$216.21	$433.33	$651.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $330.91 / $431.96 / $474.88	Facility		$330.91	$431.96	$474.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.21 / $505.00 / $651.51	Facility		$216.21	$505.00	$651.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,597.50 / $9,123.83 / $11,932.41	Facility		$4,597.50	$9,123.83	$11,932.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,983.00 / $6,295.00	Facility		$1,106.00	$2,983.00	$6,295.00