Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.19 / $11,739.50 / $20,400.00	Facility		$814.19	$11,739.50	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.85 / $1,012.08 / $13,852.40	Professional		$688.85	$1,012.08	$13,852.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $496.89 / $1,068.31 / $15,362.20	Facility		$496.89	$1,068.31	$15,362.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $752.60 / $10,439.54 / $11,798.03	Facility		$752.60	$10,439.54	$11,798.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.89 / $5,807.11 / $15,362.20	Facility		$496.89	$5,807.11	$15,362.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,963.09 / $17,821.54 / $22,636.72	Facility		$13,963.09	$17,821.54	$22,636.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00