Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.35 / $4,962.67 / $15,341.00	Facility		$633.35	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.71 / $694.92 / $1,057.40	Professional		$464.71	$694.92	$1,057.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $365.65 / $619.25 / $963.90	Facility		$365.65	$619.25	$963.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $539.35 / $919.24 / $2,134.04	Facility		$539.35	$919.24	$2,134.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $365.65 / $652.15 / $3,005.10	Facility		$365.65	$652.15	$3,005.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00