Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $436.52 / $7,943.28	Facility		$229.09	$436.52	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $436.52	Professional		$251.19	$331.13	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $295.12 / $467.74	Facility		$213.80	$295.12	$467.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $338.84 / $354.81	Facility		$295.12	$338.84	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $251.19 / $416.87	Facility		$186.21	$251.19	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52