Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,071.52 / $6,606.93	Facility		$630.96	$1,071.52	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,174.90	Professional		$549.54	$831.76	$1,174.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $1,288.25	Facility		$501.19	$758.58	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $954.99	Facility		$707.95	$912.01	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $707.95 / $1,148.15	Facility		$467.74	$707.95	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $23,442.29	Facility		$1,995.26	$10,232.93	$23,442.29