Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $10,715.19 / $14,791.08	Facility		$707.95	$10,715.19	$14,791.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $912.01	Professional		$524.81	$691.83	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $676.08 / $8,912.51	Facility		$436.52	$676.08	$8,912.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $676.08 / $707.95	Facility		$575.44	$676.08	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $512.86 / $851.14	Facility		$398.11	$512.86	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $13,182.57	Facility		$8,511.38	$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