Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,778.28 / $7,943.28	Facility		$977.24	$1,778.28	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,479.11 / $1,862.09	Professional		$660.69	$1,479.11	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,089.30	Facility		$977.24	$1,380.38	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,445.44	Facility		$1,047.13	$1,380.38	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,778.28	Facility		$831.76	$1,230.27	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,120.11 / $12,302.69	Facility		$4,570.88	$9,120.11	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $13,803.84	Facility		$1,096.48	$3,715.35	$13,803.84