Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $7,079.46 / $13,803.84	Facility		$870.96	$7,079.46	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,884.03 / $7,413.10	Professional		$707.95	$2,884.03	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,630.78 / $8,912.51	Facility		$512.86	$3,630.78	$8,912.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $6,606.93	Facility		$3,162.28	$5,495.41	$6,606.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,548.13 / $7,079.46	Facility		$501.19	$3,548.13	$7,079.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68