Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,096.48 / $13,182.57	Facility		$891.25	$1,096.48	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,096.48	Professional		$616.60	$812.83	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $1,513.56	Facility		$524.81	$794.33	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $851.14 / $870.96	Facility		$691.83	$851.14	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $724.44 / $1,122.02	Facility		$478.63	$724.44	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $23,442.29	Facility		$1,995.26	$10,232.93	$23,442.29