Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.61 / $10,347.48 / $20,400.00	Facility		$955.61	$10,347.48	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $813.38 / $4,387.33 / $11,631.59	Professional		$813.38	$4,387.33	$11,631.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $646.29 / $4,387.33 / $14,563.49	Facility		$646.29	$4,387.33	$14,563.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $838.41 / $8,751.78 / $10,440.71	Facility		$838.41	$8,751.78	$10,440.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $646.29 / $8,738.96 / $13,628.42	Facility		$646.29	$8,738.96	$13,628.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $38,534.69	Facility		$13,624.30	$17,810.43	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00