Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.11 / $4,684.68 / $8,728.00	Facility		$717.11	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $516.26 / $729.42 / $821.25	Professional		$516.26	$729.42	$821.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.32 / $479.55 / $1,031.03	Facility		$316.32	$479.55	$1,031.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $267.54 / $538.45 / $655.93	Facility		$267.54	$538.45	$655.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $342.93 / $479.55 / $1,031.03	Facility		$342.93	$479.55	$1,031.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $566.94 / $759.06 / $1,430.20	Facility		$566.94	$759.06	$1,430.20
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00