Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.26 / $2,747.00 / $7,920.26	Facility		$924.26	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.97 / $1,023.08 / $1,164.64	Professional		$724.97	$1,023.08	$1,164.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $443.67 / $876.95 / $1,318.49	Facility		$443.67	$876.95	$1,318.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $650.76 / $883.14 / $932.64	Facility		$650.76	$883.14	$932.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.67 / $956.36 / $1,318.49	Facility		$443.67	$956.36	$1,318.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,486.13 / $2,486.13 / $2,486.13	Facility		$2,486.13	$2,486.13	$2,486.13
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