Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $794.33 / $13,803.84	Facility		$630.96	$794.33	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $776.25	Professional		$446.68	$588.84	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $537.03 / $1,096.48	Facility		$380.19	$537.03	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $616.60 / $630.96	Facility		$512.86	$616.60	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $776.25	Facility		$331.13	$478.63	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $16,218.10 / $19,498.45	Facility		$11,481.54	$16,218.10	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $23,442.29	Facility		$1,995.26	$10,232.93	$23,442.29