Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.21 / $9,972.00 / $20,400.00	Facility		$393.21	$9,972.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.02 / $409.47 / $463.15	Professional		$287.02	$409.47	$463.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.01 / $326.05 / $547.58	Facility		$205.01	$326.05	$547.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.75 / $316.37 / $354.43	Facility		$204.75	$316.37	$354.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.01 / $364.21 / $547.58	Facility		$205.01	$364.21	$547.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.51 / $4,646.71 / $6,076.64	Facility		$3,709.51	$4,646.71	$6,076.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00