Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.97 / $2,300.13 / $18,977.96	Facility		$460.97	$2,300.13	$18,977.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.76 / $837.28 / $2,203.48	Professional		$439.76	$837.28	$2,203.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.06 / $1,262.73 / $2,521.53	Facility		$269.06	$1,262.73	$2,521.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.74 / $1,734.29 / $2,029.43	Facility		$416.74	$1,734.29	$2,029.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.14 / $1,961.56 / $5,190.00	Facility		$307.14	$1,961.56	$5,190.00
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00