Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $10,715.19 / $18,620.87	Facility		$891.25	$10,715.19	$18,620.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,148.15	Professional		$660.69	$870.96	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $794.33 / $8,912.51	Facility		$537.03	$794.33	$8,912.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $851.14 / $933.25	Facility		$676.08	$851.14	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $630.96 / $1,096.48	Facility		$457.09	$630.96	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68