Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.29 / $2,747.00 / $7,920.26	Facility		$685.29	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.04 / $757.99 / $862.87	Professional		$537.04	$757.99	$862.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $454.84 / $687.93 / $983.91	Facility		$454.84	$687.93	$983.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $500.97 / $654.21 / $699.72	Facility		$500.97	$654.21	$699.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $454.84 / $757.99 / $977.91	Facility		$454.84	$757.99	$977.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,836.62 / $1,836.62 / $1,836.62	Facility		$1,836.62	$1,836.62	$1,836.62
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