Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.69 / $7,074.00 / $14,136.48	Facility		$603.69	$7,074.00	$14,136.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $548.12 / $785.85 / $886.08	Professional		$548.12	$785.85	$886.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $482.67 / $721.38 / $1,037.74	Facility		$482.67	$721.38	$1,037.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $463.50 / $637.71 / $684.07	Facility		$463.50	$637.71	$684.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.67 / $815.89 / $5,626.00	Facility		$482.67	$815.89	$5,626.00
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