Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $13,803.84	Facility		$831.76	$1,288.25	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,548.82	Professional		$676.08	$1,071.52	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $812.83 / $1,778.28	Facility		$537.03	$812.83	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,174.90	Facility		$724.44	$1,000.00	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $812.83 / $1,258.93	Facility		$537.03	$812.83	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $14,125.38	Facility		$8,511.38	$12,022.64	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $16,982.44	Facility		$1,995.26	$10,232.93	$16,982.44