Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.31 / $8,952.00 / $14,779.70	Facility		$706.31	$8,952.00	$14,779.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $570.21 / $817.16 / $921.08	Professional		$570.21	$817.16	$921.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $502.19 / $752.55 / $1,079.71	Facility		$502.19	$752.55	$1,079.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $491.77 / $663.91 / $710.87	Facility		$491.77	$663.91	$710.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $502.19 / $848.26 / $6,246.00	Facility		$502.19	$848.26	$6,246.00
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 $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00