Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.02 / $7,920.26 / $20,400.00	Facility		$546.02	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.04 / $560.99 / $631.62	Professional		$395.04	$560.99	$631.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $370.49 / $577.78 / $796.55	Facility		$370.49	$577.78	$796.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $351.99 / $481.23 / $510.00	Facility		$351.99	$481.23	$510.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $370.49 / $617.41 / $796.55	Facility		$370.49	$617.41	$796.55
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $81.91 / $81.91 / $81.91	Facility	AS	$81.91	$81.91	$81.91
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 / $17,192.00 / $24,231.00	Facility		$2,912.00	$17,192.00	$24,231.00