Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $490.00 / $490.00	Facility		$490.00	$490.00	$490.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $2,332.21	Facility		$200.00	$200.00	$2,332.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $650.00 / $724.00	Facility		$185.00	$650.00	$724.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $520.00 / $800.00	Facility		$450.00	$520.00	$800.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $800.00 / $800.00	Facility		$800.00	$800.00	$800.00