Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.14 / $7,920.26 / $20,400.00	Facility		$832.14	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.07 / $866.86 / $979.34	Professional		$602.07	$866.86	$979.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $435.50 / $722.15 / $955.22	Facility		$435.50	$722.15	$955.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $479.66 / $663.30 / $761.12	Facility		$479.66	$663.30	$761.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $435.50 / $832.68 / $5,626.00	Facility		$435.50	$832.68	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,224.37 / $15,008.49 / $18,619.91	Facility		$9,224.37	$15,008.49	$18,619.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,529.00 / $12,113.00	Facility		$1,981.00	$9,529.00	$12,113.00