Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.50 / $12,274.80 / $21,735.00	Facility		$981.50	$12,274.80	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $705.79 / $1,010.74 / $1,150.59	Professional		$705.79	$1,010.74	$1,150.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $604.41 / $888.29 / $1,299.48	Facility		$604.41	$888.29	$1,299.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $633.73 / $859.78 / $911.88	Facility		$633.73	$859.78	$911.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.41 / $990.86 / $1,229.20	Facility		$604.41	$990.86	$1,229.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,175.85 / $35,294.44 / $42,789.49	Facility		$28,175.85	$35,294.44	$42,789.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $25,156.00 / $35,693.00	Facility		$3,340.00	$25,156.00	$35,693.00