Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $7,920.26 / $20,400.00	Facility		$655.29	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.49 / $678.50 / $763.92	Professional		$477.49	$678.50	$763.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.64 / $471.97 / $748.85	Facility		$302.64	$471.97	$748.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $425.89 / $581.67 / $611.32	Facility		$425.89	$581.67	$611.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.64 / $650.67 / $777.44	Facility		$302.64	$650.67	$777.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $16,876.93 / $21,600.03	Facility		$13,624.30	$16,876.93	$21,600.03
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