Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.54 / $7,920.26 / $20,400.00	Facility		$887.54	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.98 / $877.28 / $1,079.73	Professional		$641.98	$877.28	$1,079.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.27 / $658.22 / $1,089.43	Facility		$487.27	$658.22	$1,089.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $560.29 / $846.88 / $931.97	Facility		$560.29	$846.88	$931.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $505.03 / $731.69 / $5,217.00	Facility		$505.03	$731.69	$5,217.00
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,860.78 / $8,846.16 / $10,572.71	Facility	50	$6,860.78	$8,846.16	$10,572.71
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