Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.90 / $7,920.26 / $20,400.00	Facility		$561.90	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.35 / $584.00 / $657.53	Professional		$406.35	$584.00	$657.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $293.26 / $488.72 / $665.51	Facility		$293.26	$488.72	$665.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $332.37 / $459.62 / $513.22	Facility		$332.37	$459.62	$513.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.26 / $580.54 / $5,626.00	Facility		$293.26	$580.54	$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