Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.66 / $2,747.00 / $9,262.71	Facility		$339.66	$2,747.00	$9,262.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.89 / $394.96 / $848.28	Professional		$289.89	$394.96	$848.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $232.37 / $499.60 / $927.82	Facility		$232.37	$499.60	$927.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $303.51 / $621.60 / $705.51	Facility		$303.51	$621.60	$705.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.37 / $556.75 / $2,327.00	Facility		$232.37	$556.75	$2,327.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,032.32 / $5,176.14 / $6,353.74	Facility		$4,032.32	$5,176.14	$6,353.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00