Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $18,620.87	Facility		$645.65	$1,174.90	$18,620.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,096.48	Professional		$489.78	$741.31	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $645.65 / $1,230.27	Facility		$338.84	$645.65	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $912.01	Facility		$602.56	$831.76	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $602.56 / $954.99	Facility		$346.74	$602.56	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,413.10	Facility		$4,570.88	$5,888.44	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51