Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.69 / $7,920.26 / $20,400.00	Facility		$785.69	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $672.64 / $983.65 / $2,572.44	Professional		$672.64	$983.65	$2,572.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $480.47 / $1,052.41 / $3,315.00	Facility		$480.47	$1,052.41	$3,315.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $718.24 / $2,037.11 / $2,494.90	Facility		$718.24	$2,037.11	$2,494.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.47 / $2,209.04 / $5,851.00	Facility		$480.47	$2,209.04	$5,851.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00