Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.41 / $4,962.67 / $15,341.00	Facility		$643.41	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $506.34 / $698.05 / $1,158.95	Professional		$506.34	$698.05	$1,158.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $401.25 / $696.42 / $1,199.88	Facility		$401.25	$696.42	$1,199.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $450.80 / $635.21 / $1,011.70	Facility		$450.80	$635.21	$1,011.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $402.72 / $743.18 / $1,729.40	Facility		$402.72	$743.18	$1,729.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,101.36 / $2,633.84	Facility		$1,719.37	$2,101.36	$2,633.84
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