Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.26 / $12,274.80 / $34,589.03	Facility		$917.26	$12,274.80	$34,589.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $888.92 / $1,262.48 / $1,437.17	Professional		$888.92	$1,262.48	$1,437.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $736.20 / $1,118.77 / $1,582.83	Facility		$736.20	$1,118.77	$1,582.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $832.86 / $1,082.88 / $1,175.04	Facility		$832.86	$1,082.88	$1,175.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.20 / $1,266.55 / $1,527.30	Facility		$736.20	$1,266.55	$1,527.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,589.46 / $23,006.48 / $27,957.27	Facility		$16,589.46	$23,006.48	$27,957.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $28,499.32 / $53,231.00	Facility		$3,028.00	$28,499.32	$53,231.00