Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.58 / $4,962.67 / $15,341.00	Facility		$525.58	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.08 / $545.84 / $621.37	Professional		$381.08	$545.84	$621.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $322.44 / $479.62 / $717.34	Facility		$322.44	$479.62	$717.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $350.29 / $464.23 / $492.32	Facility		$350.29	$464.23	$492.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.44 / $613.70 / $6,008.00	Facility		$322.44	$613.70	$6,008.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $11,932.41	Facility		$7,811.13	$10,179.44	$11,932.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00