Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.01 / $13,042.97 / $21,735.00	Facility		$708.01	$13,042.97	$21,735.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.04 / $726.35 / $826.85	Professional		$512.04	$726.35	$826.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $314.99 / $619.13 / $930.86	Facility		$314.99	$619.13	$930.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $430.76 / $623.76 / $662.32	Facility		$430.76	$623.76	$662.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.99 / $675.20 / $930.86	Facility		$314.99	$675.20	$930.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74,485.77 / $97,752.51 / $118,706.12	Facility		$74,485.77	$97,752.51	$118,706.12
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $57,498.00 / $90,630.00	Facility		$7,425.00	$57,498.00	$90,630.00