Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $13,803.84	Facility		$724.44	$912.01	$13,803.84
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 $489.78 / $724.44 / $8,912.51	Facility		$489.78	$724.44	$8,912.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $707.95 / $724.44	Facility		$588.84	$707.95	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $630.96 / $912.01	Facility		$416.87	$630.96	$912.01
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