Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.39 / $5,584.00 / $15,341.00	Facility		$679.39	$5,584.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $629.86 / $903.06 / $1,017.53	Professional		$629.86	$903.06	$1,017.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $552.35 / $828.68 / $1,187.55	Facility		$552.35	$828.68	$1,187.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $542.64 / $732.93 / $783.23	Facility		$542.64	$732.93	$783.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.35 / $935.41 / $3,274.00	Facility		$552.35	$935.41	$3,274.00
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
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