Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.90 / $7,920.26 / $20,400.00	Facility		$861.90	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $703.36 / $1,001.31 / $1,127.36	Professional		$703.36	$1,001.31	$1,127.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $651.20 / $885.23 / $1,400.08	Facility		$651.20	$885.23	$1,400.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $533.45 / $855.59 / $889.09	Facility		$533.45	$855.59	$889.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $651.20 / $1,085.22 / $1,400.08	Facility		$651.20	$1,085.22	$1,400.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,032.32 / $5,462.44 / $6,353.74	Facility		$4,032.32	$5,462.44	$6,353.74
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,048.48 / $8,193.66 / $9,530.61	Facility	50	$6,048.48	$8,193.66	$9,530.61
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