Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,071.52 / $13,182.57	Facility		$831.76	$1,071.52	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,023.29	Professional		$588.84	$776.25	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $645.65 / $1,479.11	Facility		$457.09	$645.65	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $758.58 / $851.14	Facility		$588.84	$758.58	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $575.44 / $954.99	Facility		$446.68	$575.44	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $11,748.98	Facility		$7,079.46	$9,772.37	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,772.37 / $14,125.38	Facility		$1,995.26	$9,772.37	$14,125.38