Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.76 / $5,116.62 / $29,664.66	Facility		$674.76	$5,116.62	$29,664.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.67 / $656.16 / $1,031.90	Professional		$451.67	$656.16	$1,031.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $365.90 / $621.47 / $1,107.81	Facility		$365.90	$621.47	$1,107.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $442.26 / $628.60 / $914.76	Facility		$442.26	$628.60	$914.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.05 / $675.23 / $1,548.51	Facility		$378.05	$675.23	$1,548.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,786.49	Facility		$1,719.37	$2,217.60	$2,786.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00