Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $6,760.83 / $13,803.84	Facility		$758.58	$6,760.83	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $2,630.27 / $6,606.93	Professional		$562.34	$2,630.27	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,019.95 / $9,332.54	Facility		$436.52	$3,019.95	$9,332.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,248.07 / $6,165.95	Facility		$1,995.26	$5,248.07	$6,165.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,388.44 / $7,413.10	Facility		$407.38	$3,388.44	$7,413.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68