Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.96 / $5,116.62 / $20,400.00	Facility		$520.96	$5,116.62	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.70 / $530.53 / $603.94	Professional		$373.70	$530.53	$603.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.62 / $470.33 / $659.23	Facility		$306.62	$470.33	$659.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $350.29 / $455.24 / $491.64	Facility		$350.29	$455.24	$491.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.62 / $494.53 / $659.23	Facility		$306.62	$494.53	$659.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,512.07 / $2,009.73 / $2,436.37	Facility		$1,512.07	$2,009.73	$2,436.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00