Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.57 / $7,920.26 / $20,400.00	Facility		$616.57	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.67 / $636.99 / $717.19	Professional		$448.67	$636.99	$717.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $365.61 / $609.29 / $786.06	Facility		$365.61	$609.29	$786.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.74 / $546.54 / $561.46	Facility		$398.74	$546.54	$561.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $365.61 / $683.92 / $5,626.00	Facility		$365.61	$683.92	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,952.22 / $13,050.49	Facility		$6,909.34	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,364.01 / $16,428.33 / $19,575.74	Facility	50	$10,364.01	$16,428.33	$19,575.74
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