Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.02 / $2,792.00 / $7,920.26	Facility		$401.02	$2,792.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $378.52 / $539.91 / $816.60	Professional		$378.52	$539.91	$816.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $260.30 / $484.72 / $733.20	Facility		$260.30	$484.72	$733.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $365.96 / $553.82 / $710.87	Facility		$365.96	$553.82	$710.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $298.44 / $559.65 / $2,327.00	Facility		$298.44	$559.65	$2,327.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
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