Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.39 / $7,920.26 / $20,400.00	Facility		$731.39	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.79 / $755.06 / $859.53	Professional		$526.79	$755.06	$859.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $327.44 / $663.01 / $968.06	Facility		$327.44	$663.01	$968.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $474.33 / $641.73 / $684.08	Facility		$474.33	$641.73	$684.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.26 / $805.10 / $968.06	Facility		$450.26	$805.10	$968.06
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 $3,340.00 / $25,156.00 / $35,693.00	Facility		$3,340.00	$25,156.00	$35,693.00