Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.13 / $4,704.00 / $7,920.26	Facility		$416.13	$4,704.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.25 / $829.16 / $2,181.06	Professional		$354.25	$829.16	$2,181.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.90 / $829.16 / $2,256.75	Facility		$247.90	$829.16	$2,256.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.56 / $1,598.04 / $1,839.15	Facility		$380.56	$1,598.04	$1,839.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.90 / $1,324.20 / $2,355.48	Facility		$247.90	$1,324.20	$2,355.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,957.35 / $6,006.10 / $7,624.85	Facility		$4,957.35	$6,006.10	$7,624.85
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,436.03 / $9,009.15 / $11,437.28	Facility	50	$7,436.03	$9,009.15	$11,437.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00