Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.70 / $5,649.00 / $15,341.00	Facility		$872.70	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.40 / $900.66 / $1,027.85	Professional		$624.40	$900.66	$1,027.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $497.49 / $848.25 / $1,273.66	Facility		$497.49	$848.25	$1,273.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $551.36 / $747.72 / $801.04	Facility		$551.36	$747.72	$801.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $592.40 / $983.55 / $3,274.00	Facility		$592.40	$983.55	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $17,289.84 / $21,922.68	Facility		$13,493.64	$17,289.84	$21,922.68
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