Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $660.69 / $7,943.28	Facility		$363.08	$660.69	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $489.78 / $562.34	Professional		$239.88	$489.78	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $794.33	Facility		$269.15	$398.11	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $512.86 / $549.54	Facility		$398.11	$512.86	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $380.19 / $660.69	Facility		$275.42	$380.19	$660.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,187.76 / $3,311.31	Facility		$691.83	$2,187.76	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,748.98 / $26,302.68	Facility		$2,137.96	$11,748.98	$26,302.68