Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.16 / $7,920.26 / $20,400.00	Facility		$542.16	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.26 / $596.65 / $867.85	Professional		$399.26	$596.65	$867.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $319.26 / $511.60 / $813.82	Facility		$319.26	$511.60	$813.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $393.30 / $655.46 / $745.04	Facility		$393.30	$655.46	$745.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.26 / $553.48 / $5,370.75	Facility		$319.26	$553.48	$5,370.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
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