Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.60 / $7,920.26 / $20,400.00	Facility		$854.60	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.32 / $881.33 / $992.29	Professional		$621.32	$881.33	$992.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $395.79 / $617.23 / $976.65	Facility		$395.79	$617.23	$976.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $555.86 / $756.89 / $803.76	Facility		$555.86	$756.89	$803.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $395.79 / $850.95 / $1,015.13	Facility		$395.79	$850.95	$1,015.13
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