Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $954.99 / $7,943.28	Facility		$512.86	$954.99	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $812.83 / $1,000.00	Professional		$371.54	$812.83	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $741.31 / $1,122.02	Facility		$512.86	$741.31	$1,122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $741.31 / $794.33	Facility		$588.84	$741.31	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $588.84 / $954.99	Facility		$467.74	$588.84	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52