Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $977.24 / $13,803.84	Facility		$758.58	$977.24	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $794.33 / $977.24	Professional		$354.81	$794.33	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $758.58 / $8,912.51	Facility		$512.86	$758.58	$8,912.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $741.31 / $776.25	Facility		$630.96	$741.31	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $660.69 / $977.24	Facility		$446.68	$660.69	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,748.98 / $14,791.08	Facility		$8,317.64	$11,748.98	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68