Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.79 / $8,878.56 / $20,400.00	Facility		$1,011.79	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $737.81 / $1,045.82 / $1,177.48	Professional		$737.81	$1,045.82	$1,177.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $601.12 / $940.43 / $1,292.41	Facility		$601.12	$940.43	$1,292.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $656.01 / $893.42 / $921.92	Facility		$656.01	$893.42	$921.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $601.12 / $1,123.82 / $6,246.00	Facility		$601.12	$1,123.82	$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
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