Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $5,623.41 / $7,943.28	Facility		$389.05	$5,623.41	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $478.63	Professional		$275.42	$363.08	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $346.74 / $676.08	Facility		$234.42	$346.74	$676.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $398.11	Facility		$302.00	$380.19	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $295.12 / $478.63	Facility		$213.80	$295.12	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $6,606.93	Facility		$4,073.80	$5,370.32	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,762.47	Facility		$1,698.24	$5,495.41	$7,762.47