Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.04 / $9,338.46 / $20,400.00	Facility		$773.04	$9,338.46	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.55 / $969.25 / $9,800.04	Professional		$660.55	$969.25	$9,800.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $473.27 / $1,774.13 / $13,769.15	Facility		$473.27	$1,774.13	$13,769.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $790.59 / $7,648.87 / $10,282.49	Facility		$790.59	$7,648.87	$10,282.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $473.27 / $5,851.00 / $13,769.15	Facility		$473.27	$5,851.00	$13,769.15
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