Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $758.58 / $13,182.57	Facility		$602.56	$758.58	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $616.60 / $776.25	Professional		$275.42	$616.60	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $588.84 / $7,943.28	Facility		$407.38	$588.84	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $588.84 / $616.60	Facility		$478.63	$588.84	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $501.19 / $741.31	Facility		$354.81	$501.19	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,000.00 / $12,302.69	Facility		$7,762.47	$10,000.00	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68