Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.06 / $3,707.46 / $13,746.00	Facility		$852.06	$3,707.46	$13,746.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.34 / $991.63 / $1,116.47	Professional		$695.34	$991.63	$1,116.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $612.50 / $950.37 / $1,316.88	Facility		$612.50	$950.37	$1,316.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $668.61 / $847.04 / $924.60	Facility		$668.61	$847.04	$924.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.50 / $1,094.94 / $6,246.00	Facility		$612.50	$1,094.94	$6,246.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,103.13 / $13,092.93	Facility		$8,763.99	$12,103.13	$13,092.93
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