Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.97 / $7,510.23 / $13,320.00	Facility		$332.97	$7,510.23	$13,320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.74 / $438.92 / $809.24	Professional		$327.74	$438.92	$809.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $241.14 / $427.60 / $672.95	Facility		$241.14	$427.60	$672.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.44 / $595.86 / $1,800.51	Facility		$346.44	$595.86	$1,800.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.14 / $502.14 / $5,370.75	Facility		$241.14	$502.14	$5,370.75
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