Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.07 / $5,116.62 / $13,320.00	Facility		$421.07	$5,116.62	$13,320.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.04 / $521.98 / $787.72	Professional		$349.04	$521.98	$787.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $278.27 / $482.75 / $750.47	Facility		$278.27	$482.75	$750.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.60 / $600.64 / $684.74	Facility		$354.60	$600.64	$684.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $278.27 / $500.49 / $5,370.75	Facility		$278.27	$500.49	$5,370.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,391.79 / $11,115.96 / $14,408.62	Facility		$8,391.79	$11,115.96	$14,408.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00