Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.89 / $7,920.26 / $20,400.00	Facility		$667.89	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.11 / $690.03 / $785.51	Professional		$482.11	$690.03	$785.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $409.99 / $606.78 / $881.48	Facility		$409.99	$606.78	$881.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.53 / $587.30 / $622.20	Facility		$436.53	$587.30	$622.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $409.99 / $667.73 / $881.48	Facility		$409.99	$667.73	$881.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,752.42 / $9,645.90 / $11,932.41	Facility		$7,752.42	$9,645.90	$11,932.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00