Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.66 / $7,920.26 / $20,400.00	Facility		$653.66	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $673.98 / $758.84	Professional		$474.84	$673.98	$758.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $441.73 / $648.79 / $949.72	Facility		$441.73	$648.79	$949.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $433.14 / $578.42 / $614.04	Facility		$433.14	$578.42	$614.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.73 / $725.11 / $949.72	Facility		$441.73	$725.11	$949.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $16,876.93 / $21,600.03	Facility		$13,624.30	$16,876.93	$21,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00