Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,290.87 / $7,943.28	Facility		$870.96	$2,290.87	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,096.48	Professional		$645.65	$831.76	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $758.58 / $1,479.11	Facility		$512.86	$758.58	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $870.96	Facility		$645.65	$831.76	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $676.08 / $1,096.48	Facility		$489.78	$676.08	$1,096.48
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