Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.30 / $4,962.67 / $15,341.00	Facility		$360.30	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.31 / $458.30 / $1,049.97	Professional		$312.31	$458.30	$1,049.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.87 / $459.82 / $1,160.58	Facility		$213.87	$459.82	$1,160.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $315.11 / $820.71 / $964.92	Facility		$315.11	$820.71	$964.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.68 / $844.52 / $2,327.00	Facility		$218.68	$844.52	$2,327.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
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