Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.48 / $2,614.50 / $7,920.26	Facility		$647.48	$2,614.50	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.55 / $773.69 / $1,133.45	Professional		$520.55	$773.69	$1,133.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $430.58 / $662.82 / $1,071.86	Facility		$430.58	$662.82	$1,071.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $553.41 / $891.53 / $1,435.73	Facility		$553.41	$891.53	$1,435.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.63 / $694.64 / $1,689.07	Facility		$420.63	$694.64	$1,689.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00