Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.24 / $8,878.56 / $20,400.00	Facility		$844.24	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $606.30 / $870.93 / $991.44	Professional		$606.30	$870.93	$991.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $517.99 / $763.08 / $1,113.68	Facility		$517.99	$763.08	$1,113.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $546.52 / $738.60 / $778.60	Facility		$546.52	$738.60	$778.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $517.99 / $861.02 / $1,113.68	Facility		$517.99	$861.02	$1,113.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,410.73 / $11,450.46 / $14,700.82	Facility		$8,410.73	$11,450.46	$14,700.82
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