Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.18 / $7,920.26 / $20,400.00	Facility		$966.18	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $703.55 / $997.32 / $1,122.88	Professional		$703.55	$997.32	$1,122.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $574.34 / $957.14 / $1,234.83	Facility		$574.34	$957.14	$1,234.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $625.97 / $857.06 / $880.97	Facility		$625.97	$857.06	$880.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $574.34 / $1,073.19 / $5,626.00	Facility		$574.34	$1,073.19	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
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