Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,202.26 / $7,943.28	Facility		$912.01	$1,202.26	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,230.27	Professional		$707.95	$933.25	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $812.83 / $1,621.81	Facility		$467.74	$812.83	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $954.99	Facility		$630.96	$870.96	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $676.08 / $1,071.52	Facility		$467.74	$676.08	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $14,125.38	Facility		$8,511.38	$12,022.64	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $16,982.44	Facility		$1,995.26	$10,232.93	$16,982.44