Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.23 / $5,116.62 / $15,341.00	Facility		$874.23	$5,116.62	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.21 / $906.77 / $1,023.37	Professional		$630.21	$906.77	$1,023.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.17 / $766.87 / $1,012.61	Facility		$460.17	$766.87	$1,012.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $503.25 / $698.81 / $798.64	Facility		$503.25	$698.81	$798.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.17 / $883.71 / $3,274.00	Facility		$460.17	$883.71	$3,274.00
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