Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $7,943.28 / $13,182.57	Facility		$416.87	$7,943.28	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $501.19	Professional		$288.40	$371.54	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $389.05 / $724.44	Facility		$257.04	$389.05	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $407.38 / $416.87	Facility		$323.59	$407.38	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $316.23 / $512.86	Facility		$229.09	$316.23	$512.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,481.54 / $14,125.38	Facility		$8,317.64	$11,481.54	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $16,218.10	Facility		$1,995.26	$10,232.93	$16,218.10