Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.20 / $8,878.56 / $20,400.00	Facility		$694.20	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.88 / $715.74 / $805.85	Professional		$504.88	$715.74	$805.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $412.11 / $645.79 / $886.04	Facility		$412.11	$645.79	$886.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $450.59 / $610.37 / $640.09	Facility		$450.59	$610.37	$640.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $412.11 / $771.90 / $6,246.00	Facility		$412.11	$771.90	$6,246.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,525.75 / $15,225.66 / $19,370.28	Facility		$11,525.75	$15,225.66	$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