Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $812.83 / $7,943.28	Facility		$660.69	$812.83	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $660.69 / $831.76	Professional		$288.40	$660.69	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $630.96 / $5,011.87	Facility		$426.58	$630.96	$5,011.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $630.96 / $660.69	Facility		$537.03	$630.96	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $446.68 / $851.14	Facility		$371.54	$446.68	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,000.00 / $12,302.69	Facility		$7,762.47	$10,000.00	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68