Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $7,943.28	Facility		$812.83	$1,023.29	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,023.29	Professional		$588.84	$758.58	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $707.95 / $1,348.96	Facility		$389.05	$707.95	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $758.58 / $776.25	Facility		$588.84	$758.58	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $588.84 / $977.24	Facility		$389.05	$588.84	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,620.87 / $22,387.21	Facility		$13,489.63	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $25,703.96	Facility		$1,995.26	$10,232.93	$25,703.96