Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.96 / $7,920.26 / $13,320.00	Facility		$761.96	$7,920.26	$13,320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $768.62 / $1,101.22 / $1,241.38	Professional		$768.62	$1,101.22	$1,241.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $619.48 / $967.37 / $1,331.88	Facility		$619.48	$967.37	$1,331.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $656.98 / $895.23 / $956.76	Facility		$656.98	$895.23	$956.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $619.48 / $1,133.78 / $5,626.00	Facility		$619.48	$1,133.78	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$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