Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.54 / $8,485.20 / $20,400.00	Facility		$563.54	$8,485.20	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.44 / $623.64 / $702.16	Professional		$434.44	$623.64	$702.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $315.08 / $525.10 / $719.19	Facility		$315.08	$525.10	$719.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $359.01 / $496.47 / $553.41	Facility		$359.01	$496.47	$553.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $315.08 / $626.94 / $7,952.00	Facility		$315.08	$626.94	$7,952.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
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