Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $6,606.93 / $13,182.57	Facility		$457.09	$6,606.93	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $977.24	Professional		$363.08	$562.34	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $549.54 / $7,943.28	Facility		$257.04	$549.54	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $758.58 / $870.96	Facility		$478.63	$758.58	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $489.78 / $831.76	Facility		$257.04	$489.78	$831.76
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