Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.88 / $5,649.00 / $15,341.00	Facility		$447.88	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.02 / $456.48 / $513.96	Professional		$323.02	$456.48	$513.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $308.47 / $437.18 / $663.21	Facility		$308.47	$437.18	$663.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $276.79 / $393.51 / $424.58	Facility		$276.79	$393.51	$424.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $308.47 / $505.47 / $663.21	Facility		$308.47	$505.47	$663.21
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