Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.44 / $4,684.68 / $8,728.00	Facility		$854.44	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.04 / $912.28 / $1,142.07	Professional		$733.04	$912.28	$1,142.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $507.79 / $947.86 / $1,268.07	Facility		$507.79	$947.86	$1,268.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $587.38 / $894.29 / $956.09	Facility		$587.38	$894.29	$956.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $507.79 / $1,045.32 / $1,738.00	Facility		$507.79	$1,045.32	$1,738.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00