Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,174.90 / $7,943.28	Facility		$933.25	$1,174.90	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,202.26	Professional		$691.83	$891.25	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $1,621.81	Facility		$562.34	$812.83	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $933.25	Facility		$707.95	$891.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $676.08 / $1,122.02	Facility		$524.81	$676.08	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $10,964.78 / $13,182.57	Facility		$8,317.64	$10,964.78	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61