Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $7,943.28 / $21,379.62	Facility		$467.74	$7,943.28	$21,379.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $416.87 / $537.03	Professional		$186.21	$416.87	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $457.09 / $13,803.84	Facility		$288.40	$457.09	$13,803.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $407.38 / $426.58	Facility		$338.84	$407.38	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $380.19 / $537.03	Facility		$239.88	$380.19	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $21,379.62	Facility		$12,882.50	$17,378.01	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68