Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $7,943.28 / $13,182.57	Facility		$776.25	$7,943.28	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,000.00	Professional		$588.84	$776.25	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $549.54 / $9,332.54	Facility		$389.05	$549.54	$9,332.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $758.58 / $794.33	Facility		$660.69	$758.58	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $501.19 / $977.24	Facility		$380.19	$501.19	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $26,302.68	Facility		$2,884.03	$17,782.79	$26,302.68