Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.39 / $7,920.26 / $20,400.00	Facility		$988.39	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $704.99 / $1,000.57 / $1,139.02	Professional		$704.99	$1,000.57	$1,139.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $610.86 / $952.64 / $1,373.59	Facility		$610.86	$952.64	$1,373.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $673.46 / $858.81 / $944.03	Facility		$673.46	$858.81	$944.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $610.86 / $1,173.88 / $7,455.00	Facility		$610.86	$1,173.88	$7,455.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00