Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.70 / $3,213.00 / $7,920.26	Facility		$819.70	$3,213.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $662.74 / $949.38 / $1,069.79	Professional		$662.74	$949.38	$1,069.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $536.32 / $836.39 / $1,153.08	Facility		$536.32	$836.39	$1,153.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $571.23 / $772.15 / $824.10	Facility		$571.23	$772.15	$824.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $536.32 / $986.04 / $2,724.00	Facility		$536.32	$986.04	$2,724.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,952.22 / $13,050.49	Facility		$6,909.34	$10,952.22	$13,050.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00