Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.99 / $3,925.18 / $15,341.00	Facility		$212.99	$3,925.18	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.54 / $266.72 / $3,326.06	Professional		$181.54	$266.72	$3,326.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.07 / $661.56 / $3,683.89	Facility		$133.07	$661.56	$3,683.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $2,395.92 / $3,444.88	Facility		$197.65	$2,395.92	$3,444.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $957.19 / $3,536.85	Facility		$70.28	$957.19	$3,536.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.43 / $14,215.14 / $17,324.30	Facility		$10,762.43	$14,215.14	$17,324.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $17,192.00 / $24,231.00	Facility		$2,912.00	$17,192.00	$24,231.00