Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $501.19 / $7,943.28	Facility		$416.87	$501.19	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $512.86	Professional		$295.12	$389.05	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $309.03 / $6,025.60	Facility		$239.88	$309.03	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $389.05 / $407.38	Facility		$331.13	$389.05	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $309.03 / $512.86	Facility		$223.87	$309.03	$512.86
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