Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.30 / $7,920.26 / $20,400.00	Facility		$924.30	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $677.87 / $970.88 / $1,094.01	Professional		$677.87	$970.88	$1,094.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $597.01 / $891.75 / $1,283.57	Facility		$597.01	$891.75	$1,283.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $585.76 / $789.99 / $844.87	Facility		$585.76	$789.99	$844.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $597.01 / $1,010.94 / $5,626.00	Facility		$597.01	$1,010.94	$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 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00