Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $18,620.87	Facility		$812.83	$812.83	$18,620.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $954.99	Professional		$616.60	$794.33	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $537.03 / $1,000.00	Facility		$407.38	$537.03	$1,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $831.76	Facility		$676.08	$794.33	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $602.56 / $954.99	Facility		$389.05	$602.56	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $21,877.62 / $22,387.21	Facility		$17,782.79	$21,877.62	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $19,054.61 / $23,988.33	Facility		$5,011.87	$19,054.61	$23,988.33