Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.80 / $5,649.00 / $15,341.00	Facility		$537.80	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.95 / $547.41 / $616.33	Professional		$386.95	$547.41	$616.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $367.62 / $539.52 / $790.38	Facility		$367.62	$539.52	$790.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $351.75 / $471.38 / $493.12	Facility		$351.75	$471.38	$493.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.62 / $615.40 / $3,601.00	Facility		$367.62	$615.40	$3,601.00
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