Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $512.86 / $7,943.28	Facility		$229.09	$512.86	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $562.34	Professional		$190.55	$257.04	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $288.40 / $537.03	Facility		$141.25	$288.40	$537.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $380.19 / $426.58	Facility		$263.03	$380.19	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $275.42 / $478.63	Facility		$141.25	$275.42	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,548.82	Facility		$891.25	$1,258.93	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,995.26 / $6,165.95	Facility		$389.05	$1,995.26	$6,165.95