Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $5,623.41 / $63,095.73	Facility		$426.58	$5,623.41	$63,095.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $478.63 / $588.84	Professional		$218.78	$478.63	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $457.09 / $6,606.93	Facility		$316.23	$457.09	$6,606.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $446.68 / $467.74	Facility		$371.54	$446.68	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $398.11 / $575.44	Facility		$275.42	$398.11	$575.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $28,183.83 / $33,884.42	Facility		$21,379.62	$28,183.83	$33,884.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $36,307.81	Facility		$2,137.96	$13,182.57	$36,307.81