Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.92 / $7,920.26 / $20,400.00	Facility		$853.92	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $622.24 / $882.39 / $993.49	Professional		$622.24	$882.39	$993.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $507.61 / $845.93 / $1,091.35	Facility		$507.61	$845.93	$1,091.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $553.29 / $758.00 / $787.98	Facility		$553.29	$758.00	$787.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $507.61 / $948.69 / $5,626.00	Facility		$507.61	$948.69	$5,626.00
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