Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,513.56 / $7,943.28	Facility		$309.03	$1,513.56	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $389.05	Professional		$223.87	$295.12	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $295.12 / $5,011.87	Facility		$190.55	$295.12	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $295.12 / $316.23	Facility		$251.19	$295.12	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.19 / $407.38	Facility		$173.78	$251.19	$407.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,011.87 / $6,760.83	Facility		$3,162.28	$5,011.87	$6,760.83
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,786.30 / $7,585.78 / $10,000.00	Facility	50	$4,786.30	$7,585.78	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,413.10	Facility		$1,096.48	$3,715.35	$7,413.10