Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,290.87 / $6,606.93	Facility		$436.52	$2,290.87	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $977.24 / $2,454.71	Professional		$354.81	$977.24	$2,454.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,202.26 / $3,311.31	Facility		$275.42	$1,202.26	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,187.76	Facility		$1,479.11	$1,905.46	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,096.48 / $2,630.27	Facility		$257.04	$1,096.48	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $7,762.47	Facility		$5,011.87	$6,456.54	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50