Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $7,244.36 / $20,417.38	Facility		$316.23	$7,244.36	$20,417.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $316.23 / $398.11	Professional		$138.04	$316.23	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $338.84 / $10,232.93	Facility		$213.80	$338.84	$10,232.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $302.00 / $338.84	Facility		$257.04	$302.00	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $288.40 / $426.58	Facility		$177.83	$288.40	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $28,183.83 / $33,884.42	Facility		$21,379.62	$28,183.83	$33,884.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $36,307.81	Facility		$3,019.95	$20,892.96	$36,307.81