Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.62 / $7,920.26 / $20,400.00	Facility		$411.62	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.64 / $1,336.06 / $3,533.76	Professional		$350.64	$1,336.06	$3,533.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.02 / $1,481.40 / $5,256.90	Facility		$283.02	$1,481.40	$5,256.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.36 / $2,767.41 / $3,510.72	Facility		$407.36	$2,767.41	$3,510.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $283.02 / $2,759.47 / $5,256.90	Facility		$283.02	$2,759.47	$5,256.90
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