Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.50 / $7,920.26 / $13,320.00	Facility		$627.50	$7,920.26	$13,320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.84 / $720.98 / $811.75	Professional		$501.84	$720.98	$811.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $366.36 / $610.54 / $827.49	Facility		$366.36	$610.54	$827.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $415.70 / $574.86 / $637.84	Facility		$415.70	$574.86	$637.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.36 / $719.28 / $5,626.00	Facility		$366.36	$719.28	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
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