Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.98 / $4,962.67 / $15,341.00	Facility		$545.98	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.02 / $612.50 / $981.50	Professional		$433.02	$612.50	$981.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.43 / $543.95 / $876.42	Facility		$318.43	$543.95	$876.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $464.31 / $845.54 / $2,134.04	Facility		$464.31	$845.54	$2,134.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.43 / $601.62 / $3,005.10	Facility		$318.43	$601.62	$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