Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.89 / $8,878.56 / $20,400.00	Facility		$838.89	$8,878.56	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.13 / $881.67 / $994.13	Professional		$615.13	$881.67	$994.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.13 / $809.10 / $1,165.58	Facility		$542.13	$809.10	$1,165.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $532.47 / $715.98 / $766.48	Facility		$532.47	$715.98	$766.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.13 / $918.81 / $6,246.00	Facility		$542.13	$918.81	$6,246.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,952.22 / $13,050.49	Facility		$6,909.34	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,364.01 / $16,428.33 / $19,575.74	Facility	50	$10,364.01	$16,428.33	$19,575.74
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