Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.07 / $5,116.62 / $15,341.00	Facility		$949.07	$5,116.62	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $677.82 / $978.38 / $1,113.98	Professional		$677.82	$978.38	$1,113.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $619.53 / $949.52 / $1,439.17	Facility		$619.53	$949.52	$1,439.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $607.82 / $825.71 / $876.36	Facility		$607.82	$825.71	$876.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $669.38 / $1,098.35 / $3,274.00	Facility		$669.38	$1,098.35	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
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