Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.91 / $5,116.62 / $11,464.55	Facility		$382.91	$5,116.62	$11,464.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.19 / $511.00 / $577.88	Professional		$356.19	$511.00	$577.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $311.31 / $463.28 / $669.32	Facility		$311.31	$463.28	$669.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $305.72 / $414.06 / $442.87	Facility		$305.72	$414.06	$442.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.31 / $529.54 / $3,274.00	Facility		$311.31	$529.54	$3,274.00
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