Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.98 / $8,878.56 / $24,903.13	Facility		$642.98	$8,878.56	$24,903.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.56 / $679.30 / $767.58	Professional		$473.56	$679.30	$767.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $382.59 / $596.65 / $822.57	Facility		$382.59	$596.65	$822.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $404.56 / $550.21 / $589.60	Facility		$404.56	$550.21	$589.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.59 / $699.69 / $6,246.00	Facility		$382.59	$699.69	$6,246.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $109.85 / $109.85 / $109.85	Facility	80	$109.85	$109.85	$109.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00