Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.63 / $2,747.00 / $7,920.26	Facility		$604.63	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.16 / $669.09 / $761.67	Professional		$474.16	$669.09	$761.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $290.16 / $573.94 / $862.92	Facility		$290.16	$573.94	$862.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $423.36 / $577.61 / $607.69	Facility		$423.36	$577.61	$607.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $290.16 / $625.91 / $862.92	Facility		$290.16	$625.91	$862.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,581.13 / $1,581.13 / $1,581.13	Facility		$1,581.13	$1,581.13	$1,581.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00