Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,202.26 / $13,803.84	Facility		$954.99	$1,202.26	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $977.24 / $1,202.26	Professional		$436.52	$977.24	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $933.25 / $8,912.51	Facility		$645.65	$933.25	$8,912.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $912.01 / $954.99	Facility		$741.31	$912.01	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $1,202.26	Facility		$549.54	$794.33	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,748.98 / $14,791.08	Facility		$8,317.64	$11,748.98	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68