Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.51 / $5,649.00 / $15,341.00	Facility		$436.51	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.01 / $451.55 / $508.40	Professional		$316.01	$451.55	$508.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.33 / $423.40 / $624.21	Facility		$290.33	$423.40	$624.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $276.64 / $381.90 / $397.31	Facility		$276.64	$381.90	$397.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.33 / $482.76 / $3,274.00	Facility		$290.33	$482.76	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,032.32 / $5,176.14 / $6,353.74	Facility		$4,032.32	$5,176.14	$6,353.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00