Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.21 / $7,920.26 / $20,400.00	Facility		$412.21	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.40 / $484.78 / $551.86	Professional		$336.40	$484.78	$551.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.89 / $442.98 / $618.96	Facility		$287.89	$442.98	$618.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.83 / $409.79 / $434.52	Facility		$301.83	$409.79	$434.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.89 / $479.77 / $618.96	Facility		$287.89	$479.77	$618.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,410.73 / $11,450.46 / $14,700.82	Facility		$8,410.73	$11,450.46	$14,700.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00