Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $954.99 / $7,943.28	Facility		$489.78	$954.99	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $1,047.13	Professional		$436.52	$588.84	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $489.78 / $1,000.00	Facility		$269.15	$489.78	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $870.96	Facility		$501.19	$741.31	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $478.63 / $870.96	Facility		$275.42	$478.63	$870.96
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