Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $977.24 / $7,943.28	Facility		$524.81	$977.24	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $812.83 / $1,000.00	Professional		$371.54	$812.83	$1,000.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $758.58 / $1,148.15	Facility		$524.81	$758.58	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $758.58 / $812.83	Facility		$588.84	$758.58	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $575.44 / $977.24	Facility		$457.09	$575.44	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52