Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.72 / $4,962.67 / $15,341.00	Facility		$319.72	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.42 / $970.58 / $2,565.28	Professional		$274.42	$970.58	$2,565.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.18 / $970.58 / $3,190.40	Facility		$216.18	$970.58	$3,190.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $289.44 / $1,998.99 / $2,349.69	Facility		$289.44	$1,998.99	$2,349.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.18 / $1,914.43 / $3,244.23	Facility		$216.18	$1,914.43	$3,244.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,032.32 / $5,176.14 / $6,353.74	Facility		$4,032.32	$5,176.14	$6,353.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00