Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $7,943.28 / $13,182.57	Facility		$398.11	$7,943.28	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $467.74	Professional		$269.15	$354.81	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $389.05 / $691.83	Facility		$234.42	$389.05	$691.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $389.05 / $446.68	Facility		$331.13	$389.05	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $338.84 / $549.54	Facility		$229.09	$338.84	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $21,379.62 / $25,703.96	Facility		$15,135.61	$21,379.62	$25,703.96
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $22,908.68 / $32,359.37 / $38,904.51	Facility	50	$22,908.68	$32,359.37	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $30,902.95	Facility		$2,137.96	$13,182.57	$30,902.95