Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.44 / $5,649.00 / $15,341.00	Facility		$743.44	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.02 / $773.90 / $880.98	Professional		$537.02	$773.90	$880.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.61 / $675.88 / $983.86	Facility		$457.61	$675.88	$983.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $471.90 / $652.58 / $685.44	Facility		$471.90	$652.58	$685.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.61 / $842.40 / $6,008.00	Facility		$457.61	$842.40	$6,008.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,048.47	Facility		$4,573.85	$5,897.44	$7,048.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00