Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.53 / $4,684.68 / $8,728.00	Facility		$806.53	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.35 / $849.10 / $957.81	Professional		$592.35	$849.10	$957.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $777.20 / $1,118.00	Facility		$520.00	$777.20	$1,118.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $509.21 / $689.29 / $737.00	Facility		$509.21	$689.29	$737.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $878.97 / $2,724.00	Facility		$520.00	$878.97	$2,724.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00