Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $831.76 / $13,182.57	Facility		$467.74	$831.76	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,348.96	Professional		$562.34	$831.76	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $676.08 / $1,230.27	Facility		$371.54	$676.08	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $977.24	Facility		$588.84	$851.14	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $630.96 / $1,071.52	Facility		$380.19	$630.96	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,041.74	Facility		$1,258.93	$1,737.80	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,630.27 / $6,165.95	Facility		$389.05	$2,630.27	$6,165.95