Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.43 / $4,962.67 / $7,920.26	Facility		$441.43	$4,962.67	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.62 / $467.25 / $810.14	Professional		$339.62	$467.25	$810.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.12 / $497.27 / $960.50	Facility		$245.12	$497.27	$960.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $357.78 / $625.53 / $727.05	Facility		$357.78	$625.53	$727.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.12 / $670.31 / $3,601.00	Facility		$245.12	$670.31	$3,601.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,312.81 / $4,817.66 / $6,738.85	Facility		$3,312.81	$4,817.66	$6,738.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00