Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.74 / $2,747.00 / $7,920.26	Facility		$550.74	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.41 / $608.41 / $692.61	Professional		$431.41	$608.41	$692.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.85 / $522.19 / $785.12	Facility		$263.85	$522.19	$785.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $367.88 / $525.54 / $559.45	Facility		$367.88	$525.54	$559.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.85 / $569.48 / $785.12	Facility		$263.85	$569.48	$785.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,478.19 / $1,478.19 / $1,478.19	Facility		$1,478.19	$1,478.19	$1,478.19
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