Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.74 / $5,116.62 / $15,341.00	Facility		$447.74	$5,116.62	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.39 / $527.90 / $600.94	Professional		$365.39	$527.90	$600.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.67 / $470.58 / $672.24	Facility		$312.67	$470.58	$672.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $320.86 / $445.10 / $471.24	Facility		$320.86	$445.10	$471.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.67 / $579.15 / $5,870.00	Facility		$312.67	$579.15	$5,870.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,539.32 / $27,893.00 / $33,574.44	Facility		$21,539.32	$27,893.00	$33,574.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00