Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,511.89 / $13,182.57	Facility		$537.03	$2,511.89	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,047.13 / $2,691.53	Professional		$426.58	$1,047.13	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,122.02 / $3,548.13	Facility		$316.23	$1,122.02	$3,548.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $2,187.76	Facility		$1,479.11	$2,089.30	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,122.02 / $2,570.40	Facility		$295.12	$1,122.02	$2,570.40
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
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