Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.93 / $5,116.62 / $15,341.00	Facility		$470.93	$5,116.62	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.33 / $482.82 / $543.61	Professional		$341.33	$482.82	$543.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.87 / $471.98 / $696.32	Facility		$323.87	$471.98	$696.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.63 / $415.80 / $433.16	Facility		$308.63	$415.80	$433.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.87 / $538.65 / $3,274.00	Facility		$323.87	$538.65	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,198.09 / $20,033.77 / $25,621.76	Facility		$15,198.09	$20,033.77	$25,621.76
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