Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $7,943.28 / $19,952.62	Facility		$741.31	$7,943.28	$19,952.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $741.31 / $933.25	Professional		$331.13	$741.31	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $724.44 / $10,232.93	Facility		$501.19	$724.44	$10,232.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $707.95 / $741.31	Facility		$602.56	$707.95	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $630.96 / $933.25	Facility		$426.58	$630.96	$933.25
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