Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.14 / $8,878.56 / $20,400.00	Facility		$796.14	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.71 / $824.86 / $938.99	Professional		$574.71	$824.86	$938.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $490.27 / $724.50 / $1,054.08	Facility		$490.27	$724.50	$1,054.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $509.69 / $700.10 / $743.24	Facility		$509.69	$700.10	$743.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $490.27 / $815.71 / $1,001.50	Facility		$490.27	$815.71	$1,001.50
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