Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.33 / $7,920.26 / $20,400.00	Facility		$729.33	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.92 / $754.76 / $849.78	Professional		$531.92	$754.76	$849.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $431.85 / $677.35 / $928.48	Facility		$431.85	$677.35	$928.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $472.39 / $641.86 / $682.04	Facility		$472.39	$641.86	$682.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $431.85 / $809.25 / $9,999.15	Facility		$431.85	$809.25	$9,999.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
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