Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $12,022.64 / $15,488.17	Facility		$741.31	$12,022.64	$15,488.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $13,803.84	Professional		$602.56	$933.25	$13,803.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $6,025.60 / $15,488.17	Facility		$501.19	$6,025.60	$15,488.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,715.19 / $11,748.98	Facility		$6,918.31	$10,715.19	$11,748.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $977.24 / $13,803.84	Facility		$501.19	$977.24	$13,803.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,197.01 / $22,387.21	Facility		$13,803.84	$18,197.01	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $52,480.75	Facility		$3,311.31	$26,302.68	$52,480.75