Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.43 / $7,074.00 / $20,400.00	Facility		$724.43	$7,074.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.64 / $751.58 / $855.57	Professional		$524.64	$751.58	$855.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $445.55 / $694.84 / $957.93	Facility		$445.55	$694.84	$957.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $488.93 / $639.12 / $715.26	Facility		$488.93	$639.12	$715.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.55 / $842.48 / $7,280.00	Facility		$445.55	$842.48	$7,280.00
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