Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,495.41 / $11,481.54	Facility		$812.83	$5,495.41	$11,481.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,047.13	Professional		$602.56	$794.33	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $776.25 / $6,025.60	Facility		$512.86	$776.25	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $776.25 / $812.83	Facility		$660.69	$776.25	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $660.69 / $1,000.00	Facility		$478.63	$660.69	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,378.01 / $23,988.33	Facility		$2,884.03	$17,378.01	$23,988.33