Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.41 / $5,649.00 / $15,341.00	Facility		$353.41	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.63 / $367.31 / $413.56	Professional		$256.63	$367.31	$413.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $236.26 / $342.20 / $507.96	Facility		$236.26	$342.20	$507.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $225.78 / $307.52 / $322.27	Facility		$225.78	$307.52	$322.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.26 / $393.73 / $3,274.00	Facility		$236.26	$393.73	$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