Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,122.02 / $7,943.28	Facility		$616.60	$1,122.02	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $954.99 / $1,174.90	Professional		$426.58	$954.99	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $676.08 / $1,621.81	Facility		$616.60	$676.08	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $891.25 / $933.25	Facility		$758.58	$891.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $630.96 / $1,122.02	Facility		$524.81	$630.96	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52