Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.30 / $5,649.00 / $15,341.00	Facility		$974.30	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.57 / $1,022.96 / $1,151.75	Professional		$714.57	$1,022.96	$1,151.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $577.03 / $899.88 / $1,240.60	Facility		$577.03	$899.88	$1,240.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $618.22 / $833.50 / $890.43	Facility		$618.22	$833.50	$890.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $577.03 / $1,065.72 / $3,274.00	Facility		$577.03	$1,065.72	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,474.33 / $13,050.49	Facility		$8,508.06	$11,474.33	$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