Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $851.14 / $7,943.28	Facility		$676.08	$851.14	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $707.95 / $870.96	Professional		$316.23	$707.95	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $676.08 / $6,025.60	Facility		$457.09	$676.08	$6,025.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $660.69 / $676.08	Facility		$549.54	$660.69	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $870.96	Facility		$398.11	$588.84	$870.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,244.36	Facility		$4,570.88	$5,888.44	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51