Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.04 / $5,649.00 / $15,341.00	Facility		$554.04	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.83 / $561.29 / $631.96	Professional		$396.83	$561.29	$631.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $378.16 / $541.58 / $813.04	Facility		$378.16	$541.58	$813.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $360.95 / $483.40 / $514.04	Facility		$360.95	$483.40	$514.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.16 / $620.46 / $3,274.00	Facility		$378.16	$620.46	$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