Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $891.25 / $13,182.57	Facility		$707.95	$891.25	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $724.44 / $891.25	Professional		$323.59	$724.44	$891.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $676.08 / $13,182.57	Facility		$457.09	$676.08	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $676.08 / $707.95	Facility		$575.44	$676.08	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $912.01	Facility		$407.38	$501.19	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51,286.14 / $63,095.73 / $81,283.05	Facility		$51,286.14	$63,095.73	$81,283.05
United Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $26,302.68 / $72,443.60	Facility		$21,379.62	$26,302.68	$72,443.60