Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.63 / $7,920.26 / $20,400.00	Facility		$1,000.63	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.97 / $1,057.25 / $1,190.35	Professional		$733.97	$1,057.25	$1,190.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $592.59 / $916.34 / $1,384.84	Facility		$592.59	$916.34	$1,384.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $610.33 / $854.78 / $929.96	Facility		$610.33	$854.78	$929.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $644.11 / $1,079.83 / $6,246.00	Facility		$644.11	$1,079.83	$6,246.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $149.61 / $149.61 / $149.61	Facility	AS	$149.61	$149.61	$149.61
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
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,762.09 / $16,428.33 / $19,575.74	Facility	50	$12,762.09	$16,428.33	$19,575.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00