Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $562.34 / $7,943.28	Facility		$309.03	$562.34	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $478.63 / $575.44	Professional		$213.80	$478.63	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $338.84 / $794.33	Facility		$309.03	$338.84	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $436.52 / $467.74	Facility		$371.54	$436.52	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $316.23 / $562.34	Facility		$263.03	$316.23	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
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