Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $7,943.28 / $14,454.40	Facility		$602.56	$7,943.28	$14,454.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,023.29	Professional		$549.54	$831.76	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $691.83 / $10,964.78	Facility		$407.38	$691.83	$10,964.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $741.31 / $891.25	Facility		$537.03	$741.31	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $537.03 / $870.96	Facility		$398.11	$537.03	$870.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $11,748.98	Facility		$7,079.46	$9,772.37	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,772.37 / $14,125.38	Facility		$1,995.26	$9,772.37	$14,125.38