Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,122.02 / $13,182.57	Facility		$758.58	$1,122.02	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,047.13	Professional		$588.84	$776.25	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $660.69 / $13,182.57	Facility		$537.03	$660.69	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $851.14 / $891.25	Facility		$691.83	$851.14	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $645.65 / $1,122.02	Facility		$446.68	$645.65	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,623.41 / $6,606.93	Facility		$4,073.80	$5,623.41	$6,606.93
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,025.60 / $8,511.38 / $10,000.00	Facility	50	$6,025.60	$8,511.38	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,709.64 / $12,882.50	Facility		$1,995.26	$8,709.64	$12,882.50