Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.01 / $8,878.56 / $20,400.00	Facility		$669.01	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.80 / $697.83 / $785.68	Professional		$488.80	$697.83	$785.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.58 / $646.70 / $930.05	Facility		$432.58	$646.70	$930.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $430.72 / $586.23 / $611.04	Facility		$430.72	$586.23	$611.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.58 / $741.19 / $6,246.00	Facility		$432.58	$741.19	$6,246.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00