Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.38 / $7,074.00 / $20,400.00	Facility		$746.38	$7,074.00	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.65 / $865.15 / $975.86	Professional		$603.65	$865.15	$975.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $530.66 / $793.15 / $1,141.78	Facility		$530.66	$793.15	$1,141.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $521.32 / $702.63 / $752.41	Facility		$521.32	$702.63	$752.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $531.05 / $899.72 / $5,626.00	Facility		$531.05	$899.72	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,273.56 / $9,808.29 / $13,050.49	Facility		$5,273.56	$9,808.29	$13,050.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00