Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.88 / $4,962.67 / $15,341.00	Facility		$430.88	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.32 / $441.17 / $496.72	Professional		$311.32	$441.17	$496.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $293.20 / $419.78 / $630.40	Facility		$293.20	$419.78	$630.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $280.04 / $379.24 / $409.36	Facility		$280.04	$379.24	$409.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.20 / $487.62 / $3,274.00	Facility		$293.20	$487.62	$3,274.00
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00