Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.53 / $4,962.67 / $15,341.00	Facility		$603.53	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.75 / $653.25 / $962.63	Professional		$436.75	$653.25	$962.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $345.53 / $562.59 / $907.25	Facility		$345.53	$562.59	$907.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $442.32 / $695.40 / $833.48	Facility		$442.32	$695.40	$833.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $345.53 / $586.03 / $1,433.29	Facility		$345.53	$586.03	$1,433.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,881.12 / $2,351.11	Facility		$1,400.90	$1,881.12	$2,351.11
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00