Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $676.08 / $7,943.28	Facility		$363.08	$676.08	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $562.34 / $691.83	Professional		$257.04	$562.34	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $398.11 / $954.99	Facility		$363.08	$398.11	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $524.81 / $562.34	Facility		$446.68	$524.81	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $380.19 / $676.08	Facility		$316.23	$380.19	$676.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
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