Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.04 / $4,962.67 / $7,920.26	Facility		$511.04	$4,962.67	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.65 / $636.84 / $997.97	Professional		$439.65	$636.84	$997.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $571.11 / $887.49	Facility		$332.00	$571.11	$887.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $485.75 / $869.66 / $2,134.04	Facility		$485.75	$869.66	$2,134.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $334.69 / $620.62 / $3,005.10	Facility		$334.69	$620.62	$3,005.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
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