Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.35 / $4,684.68 / $8,728.00	Facility		$708.35	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $609.03 / $765.50 / $963.90	Professional		$609.03	$765.50	$963.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $420.51 / $783.52 / $1,125.53	Facility		$420.51	$783.52	$1,125.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $551.50 / $752.97 / $805.12	Facility		$551.50	$752.97	$805.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.51 / $879.31 / $1,738.00	Facility		$420.51	$879.31	$1,738.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,474.33 / $13,050.49	Facility		$8,508.06	$11,474.33	$13,050.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00