Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.15 / $7,920.26 / $20,400.00	Facility		$747.15	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.52 / $775.93 / $883.29	Professional		$541.52	$775.93	$883.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.49 / $657.43 / $988.44	Facility		$336.49	$657.43	$988.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $451.44 / $659.67 / $693.60	Facility		$451.44	$659.67	$693.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $336.49 / $766.16 / $988.44	Facility		$336.49	$766.16	$988.44
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 / $13,668.44 / $93,493.00	Facility		$2,155.00	$13,668.44	$93,493.00