Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.90 / $2,747.00 / $7,920.26	Facility		$678.90	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.70 / $741.25 / $843.81	Professional		$528.70	$741.25	$843.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $447.42 / $697.75 / $1,014.46	Facility		$447.42	$697.75	$1,014.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $500.35 / $644.05 / $704.84	Facility		$500.35	$644.05	$704.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.42 / $745.63 / $961.95	Facility		$447.42	$745.63	$961.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,857.93 / $1,857.93 / $1,857.93	Facility		$1,857.93	$1,857.93	$1,857.93
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