Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.73 / $4,684.68 / $8,728.00	Facility		$738.73	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.78 / $840.41 / $1,076.54	Professional		$642.78	$840.41	$1,076.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $492.97 / $782.69 / $1,137.40	Facility		$492.97	$782.69	$1,137.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $540.69 / $812.86 / $901.15	Facility		$540.69	$812.86	$901.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $492.97 / $919.01 / $1,738.00	Facility		$492.97	$919.01	$1,738.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00