Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.91 / $5,649.00 / $15,341.00	Facility		$540.91	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.37 / $547.67 / $616.64	Professional		$387.37	$547.67	$616.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.86 / $527.47 / $793.05	Facility		$368.86	$527.47	$793.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.95 / $471.88 / $510.47	Facility		$346.95	$471.88	$510.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.86 / $614.71 / $3,274.00	Facility		$368.86	$614.71	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,277.96 / $10,794.36 / $14,018.87	Facility		$8,277.96	$10,794.36	$14,018.87
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