Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,174.90 / $13,803.84	Facility		$954.99	$1,174.90	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $933.25 / $1,174.90	Professional		$416.87	$933.25	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $10,232.93	Facility		$602.56	$812.83	$10,232.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $891.25 / $954.99	Facility		$776.25	$891.25	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $645.65 / $1,174.90	Facility		$489.78	$645.65	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,668.36 / $61,659.50 / $74,131.02	Facility		$44,668.36	$61,659.50	$74,131.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $51,286.14 / $83,176.38	Facility		$4,265.80	$51,286.14	$83,176.38