Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.23 / $2,690.00 / $7,920.26	Facility		$317.23	$2,690.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.58 / $330.33 / $371.91	Professional		$230.58	$330.33	$371.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.91 / $304.50 / $453.46	Facility		$210.91	$304.50	$453.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $202.04 / $274.02 / $288.77	Facility		$202.04	$274.02	$288.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.91 / $351.48 / $3,274.00	Facility		$210.91	$351.48	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,277.96 / $10,794.36 / $14,018.87	Facility		$8,277.96	$10,794.36	$14,018.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00