Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $6,025.60 / $8,709.64	Facility		$501.19	$6,025.60	$8,709.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $630.96	Professional		$354.81	$467.74	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $354.81 / $7,762.47	Facility		$263.03	$354.81	$7,762.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $489.78 / $489.78	Facility		$398.11	$489.78	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $323.59 / $630.96	Facility		$251.19	$323.59	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $13,803.84	Facility		$8,511.38	$10,964.78	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68