Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.41 / $4,704.00 / $8,728.00	Facility		$800.41	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $886.23 / $1,069.60 / $1,205.33	Professional		$886.23	$1,069.60	$1,205.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $650.74 / $954.16 / $1,399.09	Facility		$650.74	$954.16	$1,399.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $631.61 / $865.64 / $919.24	Facility		$631.61	$865.64	$919.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $650.74 / $1,037.60 / $1,399.09	Facility		$650.74	$1,037.60	$1,399.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,039.76 / $15,838.63 / $18,619.91	Facility		$12,039.76	$15,838.63	$18,619.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $13,246.00 / $26,404.00	Facility		$2,155.00	$13,246.00	$26,404.00