Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.36 / $5,116.62 / $15,341.00	Facility		$380.36	$5,116.62	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.52 / $444.44 / $711.12	Professional		$324.52	$444.44	$711.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.89 / $452.79 / $861.05	Facility		$259.89	$452.79	$861.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.83 / $542.03 / $653.04	Facility		$323.83	$542.03	$653.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.89 / $558.76 / $2,327.00	Facility		$259.89	$558.76	$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