Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.01 / $7,920.26 / $13,320.00	Facility		$550.01	$7,920.26	$13,320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.95 / $906.32 / $2,385.25	Professional		$377.95	$906.32	$2,385.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.89 / $906.32 / $2,657.10	Facility		$263.89	$906.32	$2,657.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $399.32 / $1,813.63 / $2,091.00	Facility		$399.32	$1,813.63	$2,091.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.89 / $1,478.83 / $2,657.10	Facility		$263.89	$1,478.83	$2,657.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,762.09 / $16,428.33 / $19,575.74	Facility	50	$12,762.09	$16,428.33	$19,575.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00