Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.97 / $7,920.26 / $20,400.00	Facility		$377.97	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.22 / $477.86 / $538.02	Professional		$334.22	$477.86	$538.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $307.30 / $446.60 / $660.70	Facility		$307.30	$446.60	$660.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $294.58 / $402.00 / $421.15	Facility		$294.58	$402.00	$421.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.30 / $512.12 / $5,626.00	Facility		$307.30	$512.12	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,277.96 / $10,794.36 / $14,018.87	Facility		$8,277.96	$10,794.36	$14,018.87
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