Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $21,877.62	Facility		$851.14	$1,174.90	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $954.99 / $1,202.26	Professional		$426.58	$954.99	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $19,054.61	Facility		$630.96	$891.25	$19,054.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $912.01 / $954.99	Facility		$758.58	$912.01	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $794.33 / $1,174.90	Facility		$537.03	$794.33	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $35,481.34 / $44,668.36	Facility		$28,183.83	$35,481.34	$44,668.36
United Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $31,622.78 / $51,286.14	Facility		$21,379.62	$31,622.78	$51,286.14