Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.67 / $7,920.26 / $20,400.00	Facility		$714.67	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $583.22 / $827.23 / $931.38	Professional		$583.22	$827.23	$931.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $474.80 / $791.25 / $1,020.82	Facility		$474.80	$791.25	$1,020.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $518.41 / $710.46 / $732.29	Facility		$518.41	$710.46	$732.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $474.80 / $888.93 / $5,626.00	Facility		$474.80	$888.93	$5,626.00
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,762.09 / $16,428.33 / $19,575.74	Facility	50	$12,762.09	$16,428.33	$19,575.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,953.60	Facility		$1,981.00	$9,529.00	$12,953.60