Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.50 / $8,878.56 / $20,400.00	Facility		$1,038.50	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $763.15 / $1,092.65 / $1,230.21	Professional		$763.15	$1,092.65	$1,230.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $618.17 / $964.05 / $1,329.09	Facility		$618.17	$964.05	$1,329.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $659.89 / $889.73 / $950.06	Facility		$659.89	$889.73	$950.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $618.17 / $1,137.93 / $6,246.00	Facility		$618.17	$1,137.93	$6,246.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $177.56 / $177.56 / $177.56	Facility	80	$177.56	$177.56	$177.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
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