Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $912.01 / $13,182.57	Facility		$741.31	$912.01	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $933.25	Professional		$549.54	$724.44	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $537.03 / $7,943.28	Facility		$436.52	$537.03	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $707.95 / $741.31	Facility		$616.60	$707.95	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $537.03 / $954.99	Facility		$407.38	$537.03	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,054.61 / $38,904.51	Facility		$13,489.63	$19,054.61	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $45,708.82	Facility		$2,884.03	$17,782.79	$45,708.82