Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.33 / $7,920.26 / $20,596.25	Facility		$380.33	$7,920.26	$20,596.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $350.00 / $398.42	Professional		$247.52	$350.00	$398.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.48 / $329.80 / $482.24	Facility		$211.48	$329.80	$482.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.04 / $301.52 / $345.05	Facility		$233.04	$301.52	$345.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.48 / $358.50 / $482.24	Facility		$211.48	$358.50	$482.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,539.32 / $27,893.00 / $33,574.44	Facility		$21,539.32	$27,893.00	$33,574.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00