Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.74 / $8,487.66 / $14,183.50	Facility		$628.74	$8,487.66	$14,183.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $710.71 / $890.33 / $1,046.98	Professional		$710.71	$890.33	$1,046.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $408.61 / $727.97 / $1,003.62	Facility		$408.61	$727.97	$1,003.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $497.50 / $730.97 / $895.79	Facility		$497.50	$730.97	$895.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $408.61 / $849.09 / $3,743.00	Facility		$408.61	$849.09	$3,743.00
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