Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.07 / $7,920.26 / $20,400.00	Facility		$771.07	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.98 / $801.97 / $906.23	Professional		$556.98	$801.97	$906.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $404.46 / $673.05 / $883.95	Facility		$404.46	$673.05	$883.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $440.41 / $610.24 / $702.83	Facility		$440.41	$610.24	$702.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $404.46 / $770.95 / $5,626.00	Facility		$404.46	$770.95	$5,626.00
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00