Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $4,466.84 / $7,943.28	Facility		$446.68	$4,466.84	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $776.25 / $1,949.84	Professional		$338.84	$776.25	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,122.02 / $5,370.32	Facility		$269.15	$1,122.02	$5,370.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,548.82	Facility		$1,023.29	$1,445.44	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $891.25 / $1,862.09	Facility		$245.47	$891.25	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $11,481.54 / $14,791.08	Facility		$8,709.64	$11,481.54	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68