Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.49 / $7,920.26 / $20,400.00	Facility		$397.49	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.77 / $413.57 / $465.64	Professional		$290.77	$413.57	$465.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $236.26 / $496.80 / $625.60	Facility		$236.26	$496.80	$625.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $296.45 / $359.72 / $495.80	Facility		$296.45	$359.72	$495.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.26 / $507.96 / $5,626.00	Facility		$236.26	$507.96	$5,626.00
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