Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.53 / $7,920.26 / $24,095.17	Facility		$645.53	$7,920.26	$24,095.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.24 / $776.50 / $1,052.63	Professional		$532.24	$776.50	$1,052.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $424.36 / $641.51 / $990.42	Facility		$424.36	$641.51	$990.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $528.63 / $815.47 / $905.17	Facility		$528.63	$815.47	$905.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $424.36 / $676.22 / $6,120.00	Facility		$424.36	$676.22	$6,120.00
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 $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00