Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $6,025.60 / $13,182.57	Facility		$741.31	$6,025.60	$13,182.57
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 $501.19 / $707.95 / $13,182.57	Facility		$501.19	$707.95	$13,182.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $707.95 / $741.31	Facility		$602.56	$707.95	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $933.25	Facility		$416.87	$512.86	$933.25
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