Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.71 / $7,920.26 / $14,850.11	Facility		$517.71	$7,920.26	$14,850.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.47 / $596.20 / $671.26	Professional		$417.47	$596.20	$671.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384.64 / $558.25 / $826.98	Facility		$384.64	$558.25	$826.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $368.70 / $503.84 / $524.61	Facility		$368.70	$503.84	$524.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $384.64 / $641.00 / $6,246.00	Facility		$384.64	$641.00	$6,246.00
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