Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.24 / $7,920.26 / $18,208.83	Facility		$442.24	$7,920.26	$18,208.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.09 / $608.02 / $991.95	Professional		$414.09	$608.02	$991.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $255.73 / $552.78 / $1,017.45	Facility		$255.73	$552.78	$1,017.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $444.21 / $719.88 / $868.32	Facility		$444.21	$719.88	$868.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $327.39 / $720.70 / $2,662.00	Facility		$327.39	$720.70	$2,662.00
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