Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $6,760.83 / $13,803.84	Facility		$512.86	$6,760.83	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $616.60	Professional		$354.81	$467.74	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $501.19 / $7,943.28	Facility		$302.00	$501.19	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $512.86 / $524.81	Facility		$426.58	$512.86	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $389.05 / $645.65	Facility		$275.42	$389.05	$645.65
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