Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.25 / $7,920.26 / $20,400.00	Facility		$692.25	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.86 / $722.22 / $822.15	Professional		$503.86	$722.22	$822.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $428.43 / $653.42 / $921.12	Facility		$428.43	$653.42	$921.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $449.62 / $613.79 / $675.21	Facility		$449.62	$613.79	$675.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.43 / $807.50 / $7,280.00	Facility		$428.43	$807.50	$7,280.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,539.32 / $27,893.00 / $33,574.44	Facility		$21,539.32	$27,893.00	$33,574.44
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