Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.51 / $2,747.00 / $7,920.26	Facility		$450.51	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.46 / $519.84 / $616.11	Professional		$420.46	$519.84	$616.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.94 / $395.57 / $750.66	Facility		$309.94	$395.57	$750.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $384.08 / $512.19 / $549.44	Facility		$384.08	$512.19	$549.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.94 / $473.68 / $750.66	Facility		$309.94	$473.68	$750.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $690.94 / $1,827.34 / $3,326.56	Facility		$690.94	$1,827.34	$3,326.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00