Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.79 / $2,747.00 / $7,920.26	Facility		$831.79	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $650.74 / $918.80 / $1,045.94	Professional		$650.74	$918.80	$1,045.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.45 / $789.86 / $1,187.55	Facility		$398.45	$789.86	$1,187.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $582.99 / $792.71 / $837.50	Facility		$582.99	$792.71	$837.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.45 / $861.39 / $1,187.55	Facility		$398.45	$861.39	$1,187.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,223.50 / $2,223.50 / $2,223.50	Facility		$2,223.50	$2,223.50	$2,223.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00