Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,570.40 / $13,182.57	Facility		$446.68	$2,570.40	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $933.25 / $2,398.83	Professional		$331.13	$933.25	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,202.26 / $7,943.28	Facility		$245.47	$1,202.26	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $1,995.26	Facility		$1,318.26	$1,862.09	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,000.00 / $2,290.87	Facility		$229.09	$1,000.00	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $13,182.57	Facility		$8,511.38	$10,964.78	$13,182.57
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $16,595.87 / $19,952.62	Facility	50	$12,882.50	$16,595.87	$19,952.62
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