Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.09 / $8,369.76 / $13,320.00	Facility		$785.09	$8,369.76	$13,320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.71 / $906.82 / $1,021.50	Professional		$631.71	$906.82	$1,021.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $551.04 / $841.00 / $1,200.82	Facility		$551.04	$841.00	$1,200.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $553.29 / $744.08 / $791.27	Facility		$553.29	$744.08	$791.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $558.52 / $951.18 / $5,626.00	Facility		$558.52	$951.18	$5,626.00
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00