Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.06 / $2,747.00 / $7,920.26	Facility		$977.06	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.97 / $1,148.55 / $1,293.15	Professional		$798.97	$1,148.55	$1,293.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $499.56 / $956.51 / $1,392.10	Facility		$499.56	$956.51	$1,392.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $673.02 / $932.75 / $1,015.05	Facility		$673.02	$932.75	$1,015.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.56 / $1,070.83 / $1,229.66	Facility		$499.56	$1,070.83	$1,229.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,560.67 / $6,435.12 / $15,127.72	Facility		$2,560.67	$6,435.12	$15,127.72
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