Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $562.34 / $7,943.28	Facility		$457.09	$562.34	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $562.34	Professional		$316.23	$416.87	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $407.38 / $724.44	Facility		$269.15	$407.38	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $436.52 / $446.68	Facility		$338.84	$436.52	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $338.84 / $562.34	Facility		$251.19	$338.84	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $21,379.62 / $25,703.96	Facility		$15,135.61	$21,379.62	$25,703.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $30,902.95	Facility		$2,137.96	$13,182.57	$30,902.95