Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.96 / $7,920.26 / $20,400.00	Facility		$792.96	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.47 / $816.74 / $919.57	Professional		$572.47	$816.74	$919.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $528.53 / $779.96 / $1,136.33	Facility		$528.53	$779.96	$1,136.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $506.30 / $688.41 / $720.92	Facility		$506.30	$688.41	$720.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $528.53 / $884.52 / $6,365.00	Facility		$528.53	$884.52	$6,365.00
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,416.96 / $16,191.54 / $21,028.31	Facility	50	$12,416.96	$16,191.54	$21,028.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00