Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $870.96 / $13,182.57	Facility		$676.08	$870.96	$13,182.57
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 / $660.69 / $17,378.01	Facility		$457.09	$660.69	$17,378.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $691.83	Facility		$562.34	$660.69	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $851.14	Facility		$398.11	$467.74	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,748.98 / $14,791.08	Facility		$8,317.64	$11,748.98	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $64,565.42 / $93,325.43	Facility		$4,073.80	$64,565.42	$93,325.43