Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.81 / $5,116.62 / $7,920.26	Facility		$443.81	$5,116.62	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.80 / $704.68 / $1,847.22	Professional		$377.80	$704.68	$1,847.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $301.93 / $774.38 / $2,152.94	Facility		$301.93	$774.38	$2,152.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $424.11 / $1,360.37 / $1,606.84	Facility		$424.11	$1,360.37	$1,606.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.93 / $1,311.35 / $2,152.94	Facility		$301.93	$1,311.35	$2,152.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $11,468.77 / $13,092.93	Facility		$8,763.99	$11,468.77	$13,092.93
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