Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.06 / $6,897.29 / $13,746.00	Facility		$686.06	$6,897.29	$13,746.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $639.41 / $2,529.39 / $6,694.63	Professional		$639.41	$2,529.39	$6,694.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $445.06 / $2,806.48 / $8,213.77	Facility		$445.06	$2,806.48	$8,213.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $696.13 / $5,042.79 / $6,386.79	Facility		$696.13	$5,042.79	$6,386.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.06 / $4,446.42 / $8,213.77	Facility		$445.06	$4,446.42	$8,213.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $17,810.43 / $21,600.03	Facility		$13,624.30	$17,810.43	$21,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,178.91 / $18,628.00 / $24,872.00	Facility		$3,178.91	$18,628.00	$24,872.00