Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $7,943.28 / $13,182.57	Facility		$616.60	$7,943.28	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,230.27	Professional		$707.95	$912.01	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $812.83 / $1,659.59	Facility		$549.54	$812.83	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $912.01 / $954.99	Facility		$758.58	$912.01	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $676.08 / $1,148.15	Facility		$549.54	$676.08	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $13,182.57	Facility		$8,511.38	$10,964.78	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61