Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,202.26 / $7,943.28	Facility		$645.65	$1,202.26	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,258.93	Professional		$524.81	$724.44	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $645.65 / $1,148.15	Facility		$380.19	$645.65	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $977.24	Facility		$645.65	$912.01	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $1,047.13	Facility		$371.54	$616.60	$1,047.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,244.36	Facility		$4,570.88	$5,888.44	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51