Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.36 / $8,878.56 / $25,604.51	Facility		$757.36	$8,878.56	$25,604.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $618.05 / $876.47 / $986.81	Professional		$618.05	$876.47	$986.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.37 / $840.53 / $1,135.71	Facility		$504.37	$840.53	$1,135.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.91 / $752.90 / $810.89	Facility		$549.91	$752.90	$810.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.37 / $942.88 / $6,246.00	Facility		$504.37	$942.88	$6,246.00
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $17,890.86 / $24,101.73 / $29,055.42	Facility	50	$17,890.86	$24,101.73	$29,055.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00