Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.49 / $7,920.26 / $20,400.00	Facility		$426.49	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.13 / $797.42 / $1,902.18	Professional		$367.13	$797.42	$1,902.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $292.19 / $797.42 / $2,279.69	Facility		$292.19	$797.42	$2,279.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $385.92 / $1,363.44 / $1,650.48	Facility		$385.92	$1,363.44	$1,650.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $292.19 / $951.74 / $2,279.69	Facility		$292.19	$951.74	$2,279.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,198.09 / $20,033.77 / $25,621.76	Facility		$15,198.09	$20,033.77	$25,621.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00