Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.68 / $538.74 / $1,299.80	Facility		$288.68	$538.74	$1,299.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.73 / $463.89 / $775.60	Professional		$338.73	$463.89	$775.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.70 / $438.00 / $742.05	Facility		$234.70	$438.00	$742.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $343.34 / $560.88 / $650.57	Facility		$343.34	$560.88	$650.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.70 / $449.65 / $835.79	Facility		$234.70	$449.65	$835.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $713.39 / $956.99 / $1,175.01	Facility		$713.39	$956.99	$1,175.01
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00