Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.25 / $2,747.00 / $7,920.26	Facility		$695.25	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.30 / $905.82 / $1,163.97	Professional		$684.30	$905.82	$1,163.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $488.17 / $801.09 / $1,189.30	Facility		$488.17	$801.09	$1,189.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $572.85 / $873.51 / $991.91	Facility		$572.85	$873.51	$991.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.17 / $933.93 / $2,327.00	Facility		$488.17	$933.93	$2,327.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,539.09 / $11,131.60 / $14,269.30	Facility		$8,539.09	$11,131.60	$14,269.30
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