Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $831.76 / $7,943.28	Facility		$446.68	$831.76	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $691.83 / $851.14	Professional		$309.03	$691.83	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $645.65 / $954.99	Facility		$446.68	$645.65	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $707.95	Facility		$549.54	$645.65	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $851.14	Facility		$389.05	$575.44	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
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