Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.15 / $8,952.00 / $24,914.88	Facility		$804.15	$8,952.00	$24,914.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.16 / $829.91 / $944.74	Professional		$578.16	$829.91	$944.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $495.60 / $727.66 / $1,065.54	Facility		$495.60	$727.66	$1,065.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $519.87 / $704.32 / $750.04	Facility		$519.87	$704.32	$750.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $495.60 / $820.87 / $1,002.42	Facility		$495.60	$820.87	$1,002.42
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 $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00