Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.54 / $2,747.00 / $7,920.26	Facility		$472.54	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.76 / $521.74 / $593.94	Professional		$369.76	$521.74	$593.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.26 / $449.13 / $675.27	Facility		$226.26	$449.13	$675.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.45 / $450.44 / $466.99	Facility		$316.45	$450.44	$466.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.26 / $489.81 / $675.27	Facility		$226.26	$489.81	$675.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,247.48 / $1,247.48 / $1,247.48	Facility		$1,247.48	$1,247.48	$1,247.48
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