Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.07 / $5,649.00 / $15,341.00	Facility		$578.07	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.61 / $600.70 / $676.33	Professional		$420.61	$600.70	$676.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $342.57 / $534.24 / $736.53	Facility		$342.57	$534.24	$736.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $359.57 / $497.80 / $527.29	Facility		$359.57	$497.80	$527.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.57 / $634.12 / $3,274.00	Facility		$342.57	$634.12	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,273.56 / $9,808.29 / $13,050.49	Facility		$5,273.56	$9,808.29	$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