Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.29 / $9,972.00 / $20,400.00	Facility		$532.29	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.99 / $555.14 / $628.22	Professional		$388.99	$555.14	$628.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.77 / $343.71 / $738.98	Facility		$229.77	$343.71	$738.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.12 / $431.48 / $479.72	Facility		$229.12	$431.48	$479.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.77 / $491.51 / $738.98	Facility		$229.77	$491.51	$738.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $94,679.04 / $136,751.75 / $204,567.98	Facility		$94,679.04	$136,751.75	$204,567.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00