Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.76 / $5,649.00 / $15,341.00	Facility		$497.76	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.74 / $507.28 / $577.48	Professional		$358.74	$507.28	$577.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.99 / $437.82 / $658.27	Facility		$219.99	$437.82	$658.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.22 / $437.00 / $468.52	Facility		$302.22	$437.00	$468.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.99 / $510.23 / $658.27	Facility		$219.99	$510.23	$658.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,058.71 / $5,326.50 / $6,738.85	Facility		$4,058.71	$5,326.50	$6,738.85
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