Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $489.78 / $7,943.28	Facility		$398.11	$489.78	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $489.78	Professional		$281.84	$371.54	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $295.12 / $6,025.60	Facility		$229.09	$295.12	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $380.19 / $389.05	Facility		$316.23	$380.19	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $489.78	Facility		$218.78	$295.12	$489.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,481.54 / $14,125.38	Facility		$8,317.64	$11,481.54	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68