Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,122.02 / $7,943.28	Facility		$512.86	$1,122.02	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,071.52	Professional		$457.09	$616.60	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $512.86 / $1,071.52	Facility		$281.84	$512.86	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $776.25 / $891.25	Facility		$512.86	$776.25	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $501.19 / $891.25	Facility		$288.40	$501.19	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50