Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $758.58 / $7,943.28	Facility		$602.56	$758.58	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $741.31	Professional		$426.58	$562.34	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $1,047.13	Facility		$363.08	$602.56	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $575.44 / $776.25	Facility		$501.19	$575.44	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $549.54 / $870.96	Facility		$346.74	$549.54	$870.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40