Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.99 / $5,116.62 / $15,341.00	Facility		$903.99	$5,116.62	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $656.50 / $954.91 / $1,305.14	Professional		$656.50	$954.91	$1,305.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $527.71 / $865.64 / $1,315.86	Facility		$527.71	$865.64	$1,315.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $670.30 / $1,018.53 / $1,128.95	Facility		$670.30	$1,018.53	$1,128.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.46 / $908.92 / $3,005.10	Facility		$542.46	$908.92	$3,005.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00