Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.64 / $5,649.00 / $15,341.00	Facility		$428.64	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.89 / $438.18 / $493.34	Professional		$309.89	$438.18	$493.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $419.05 / $632.67	Facility		$294.27	$419.05	$632.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.87 / $377.50 / $408.03	Facility		$269.87	$377.50	$408.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $464.13 / $632.67	Facility		$294.27	$464.13	$632.67
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