Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.07 / $754.72 / $2,566.69	Facility		$632.07	$754.72	$2,566.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.72 / $1,666.91 / $6,746.85	Professional		$754.72	$1,666.91	$6,746.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $580.08 / $852.27 / $2,490.50	Professional		$580.08	$852.27	$2,490.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $418.31 / $954.29 / $3,584.67	Facility		$418.31	$954.29	$3,584.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.50 / $691.50 / $691.50	Professional		$691.50	$691.50	$691.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $646.54 / $2,030.14 / $2,743.14	Facility		$646.54	$2,030.14	$2,743.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $418.31 / $1,667.29 / $3,661.80	Facility		$418.31	$1,667.29	$3,661.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $625.67 / $1,441.90 / $3,226.99	Professional		$625.67	$1,441.90	$3,226.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $606.61 / $1,079.60 / $2,969.47	Professional		$606.61	$1,079.60	$2,969.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,892.11 / $2,703.46 / $3,426.49	Professional		$1,892.11	$2,703.46	$3,426.49