Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $13,182.57	Facility		$1,000.00	$1,230.27	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $977.24 / $1,258.93	Professional		$436.52	$977.24	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $7,943.28	Facility		$676.08	$977.24	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $954.99 / $1,000.00	Facility		$794.33	$954.99	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $758.58 / $1,230.27	Facility		$575.44	$758.58	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $35,481.34 / $44,668.36	Facility		$28,183.83	$35,481.34	$44,668.36
United Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $31,622.78 / $51,286.14	Facility		$21,379.62	$31,622.78	$51,286.14