Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.88 / $12,054.00 / $32,689.00	Facility		$816.88	$12,054.00	$32,689.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $648.15 / $842.24 / $1,012.18	Professional		$648.15	$842.24	$1,012.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.55 / $676.87 / $1,032.66	Facility		$407.55	$676.87	$1,032.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $590.94 / $789.57 / $834.36	Facility		$590.94	$789.57	$834.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $412.35 / $727.26 / $1,059.75	Facility		$412.35	$727.26	$1,059.75
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $134.97 / $134.97 / $134.97	Facility	AS	$134.97	$134.97	$134.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,860.57 / $18,659.50 / $20,822.68	Facility		$15,860.57	$18,659.50	$20,822.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,874.00 / $17,192.00 / $24,231.00	Facility		$4,874.00	$17,192.00	$24,231.00