Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.37 / $7,920.26 / $20,400.00	Facility		$653.37	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.11 / $672.85 / $757.56	Professional		$474.11	$672.85	$757.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $441.19 / $688.04 / $948.56	Facility		$441.19	$688.04	$948.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $424.02 / $577.54 / $613.36	Facility		$424.02	$577.54	$613.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $441.19 / $735.24 / $948.56	Facility		$441.19	$735.24	$948.56
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $98.51 / $98.51 / $98.51	Facility	AS	$98.51	$98.51	$98.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $16,876.93 / $38,534.69	Facility		$13,624.30	$16,876.93	$38,534.69
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