Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.27 / $2,747.00 / $7,920.26	Facility		$766.27	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.62 / $880.11 / $1,001.89	Professional		$613.62	$880.11	$1,001.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $516.39 / $753.16 / $1,110.24	Facility		$516.39	$753.16	$1,110.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $539.73 / $731.64 / $785.91	Facility		$539.73	$731.64	$785.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $516.39 / $819.34 / $1,086.65	Facility		$516.39	$819.34	$1,086.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,992.79 / $1,992.79 / $1,992.79	Facility		$1,992.79	$1,992.79	$1,992.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00