Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.86 / $6,629.40 / $8,728.00	Facility		$737.86	$6,629.40	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.09 / $769.52 / $871.15	Professional		$534.09	$769.52	$871.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $386.98 / $626.14 / $832.01	Facility		$386.98	$626.14	$832.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $408.35 / $577.54 / $676.03	Facility		$408.35	$577.54	$676.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $386.98 / $721.38 / $2,724.00	Facility		$386.98	$721.38	$2,724.00
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