Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $6,606.93	Facility		$794.33	$1,148.15	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,258.93	Professional		$602.56	$891.25	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $1,380.38	Facility		$549.54	$794.33	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $977.24 / $1,023.29	Facility		$724.44	$977.24	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $724.44 / $1,230.27	Facility		$512.86	$724.44	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40