Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $12,302.69 / $34,673.69	Facility		$912.01	$12,302.69	$34,673.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,096.48 / $1,412.54	Professional		$489.78	$1,096.48	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,096.48 / $19,054.61	Facility		$741.31	$1,096.48	$19,054.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,148.15	Facility		$912.01	$1,071.52	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $1,445.44	Facility		$602.56	$912.01	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $23,442.29 / $28,183.83	Facility		$16,595.87	$23,442.29	$28,183.83
United Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $38,018.94 / $53,703.18	Facility		$17,378.01	$38,018.94	$53,703.18