Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.79 / $7,920.26 / $20,400.00	Facility		$801.79	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $581.69 / $824.65 / $928.48	Professional		$581.69	$824.65	$928.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.15 / $845.48 / $1,165.61	Facility		$542.15	$845.48	$1,165.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $531.50 / $708.59 / $754.80	Facility		$531.50	$708.59	$754.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.15 / $903.49 / $1,165.61	Facility		$542.15	$903.49	$1,165.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $121.22 / $121.22 / $121.22	Facility	AS	$121.22	$121.22	$121.22
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