Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.70 / $7,920.26 / $20,400.00	Facility		$861.70	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.27 / $889.22 / $1,012.26	Professional		$621.27	$889.22	$1,012.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $385.62 / $781.91 / $1,142.68	Facility		$385.62	$781.91	$1,142.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $552.99 / $756.81 / $803.08	Facility		$552.99	$756.81	$803.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $531.48 / $949.95 / $1,142.68	Facility		$531.48	$949.95	$1,142.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87,501.02 / $109,608.03 / $135,174.41	Facility		$87,501.02	$109,608.03	$135,174.41
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $64,404.00 / $94,117.00	Facility		$7,425.00	$64,404.00	$94,117.00