Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.11 / $7,074.00 / $20,400.00	Facility		$613.11	$7,074.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.10 / $828.34 / $942.96	Professional		$578.10	$828.34	$942.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $359.22 / $727.58 / $1,071.71	Facility		$359.22	$727.58	$1,071.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $514.32 / $704.22 / $748.39	Facility		$514.32	$704.22	$748.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $498.47 / $882.90 / $1,071.71	Facility		$498.47	$882.90	$1,071.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50,935.38 / $63,804.13 / $77,170.59	Facility		$50,935.38	$63,804.13	$77,170.59
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