Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.42 / $8,952.00 / $21,614.58	Facility		$432.42	$8,952.00	$21,614.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.80 / $473.94 / $539.52	Professional		$336.80	$473.94	$539.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.20 / $441.60 / $617.48	Facility		$287.20	$441.60	$617.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.63 / $410.29 / $432.15	Facility		$308.63	$410.29	$432.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $287.20 / $478.62 / $617.48	Facility		$287.20	$478.62	$617.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00