Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,096.48 / $7,943.28	Facility		$691.83	$1,096.48	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,288.25	Professional		$562.34	$891.25	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $676.08 / $1,174.90	Facility		$457.09	$676.08	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $977.24	Facility		$660.69	$933.25	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $660.69 / $1,122.02	Facility		$426.58	$660.69	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $14,125.38	Facility		$8,511.38	$12,022.64	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $16,982.44	Facility		$1,995.26	$10,232.93	$16,982.44