Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $7,413.10 / $12,022.64	Facility		$371.54	$7,413.10	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $912.01	Professional		$323.59	$426.58	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $426.58 / $7,413.10	Facility		$208.93	$426.58	$7,413.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $602.56 / $741.31	Facility		$371.54	$602.56	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $371.54 / $707.95	Facility		$204.17	$371.54	$707.95
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