Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $5,623.41 / $7,943.28	Facility		$776.25	$5,623.41	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,023.29	Professional		$588.84	$758.58	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $707.95 / $1,348.96	Facility		$446.68	$707.95	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $741.31 / $776.25	Facility		$575.44	$741.31	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $562.34 / $933.25	Facility		$436.52	$562.34	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,964.78 / $13,182.57	Facility		$6,918.31	$10,964.78	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61