Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.78 / $7,920.26 / $20,400.00	Facility		$932.78	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $669.07 / $962.42 / $1,084.20	Professional		$669.07	$962.42	$1,084.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.24 / $815.32 / $1,098.69	Facility		$489.24	$815.32	$1,098.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $543.61 / $751.74 / $850.90	Facility		$543.61	$751.74	$850.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.24 / $952.00 / $5,626.00	Facility		$489.24	$952.00	$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