Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.66 / $5,116.62 / $20,400.00	Facility		$655.66	$5,116.62	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.66 / $680.62 / $766.31	Professional		$477.66	$680.62	$766.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $396.26 / $617.97 / $868.21	Facility		$396.26	$617.97	$868.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $449.13 / $581.88 / $630.47	Facility		$449.13	$581.88	$630.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.26 / $660.37 / $851.96	Facility		$396.26	$660.37	$851.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,653.88 / $1,653.88 / $1,653.88	Facility		$1,653.88	$1,653.88	$1,653.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00