Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.88 / $11,377.08 / $20,400.00	Facility		$533.88	$11,377.08	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.63 / $552.79 / $622.40	Professional		$389.63	$552.79	$622.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.19 / $496.45 / $681.96	Facility		$317.19	$496.45	$681.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.42 / $471.60 / $497.08	Facility		$346.42	$471.60	$497.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $317.19 / $593.45 / $7,952.00	Facility		$317.19	$593.45	$7,952.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,474.33 / $13,050.49	Facility		$8,508.06	$11,474.33	$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