Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.97 / $1,547.10 / $7,920.26	Facility		$296.97	$1,547.10	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.35 / $342.46 / $385.57	Professional		$242.35	$342.46	$385.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $227.14 / $339.70 / $488.35	Facility		$227.14	$339.70	$488.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $220.93 / $295.22 / $340.50	Facility		$220.93	$295.22	$340.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.14 / $370.18 / $488.35	Facility		$227.14	$370.18	$488.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,160.13 / $4,817.66 / $6,738.85	Facility		$3,160.13	$4,817.66	$6,738.85
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,740.20 / $7,226.49 / $10,108.28	Facility	50	$4,740.20	$7,226.49	$10,108.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00