Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.79 / $7,920.26 / $20,400.00	Facility		$622.79	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $533.70 / $782.09 / $2,070.19	Professional		$533.70	$782.09	$2,070.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $383.13 / $845.07 / $2,754.85	Facility		$383.13	$845.07	$2,754.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $566.15 / $1,640.03 / $2,048.80	Facility		$566.15	$1,640.03	$2,048.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $383.13 / $1,782.92 / $5,851.00	Facility		$383.13	$1,782.92	$5,851.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00