Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $616.60 / $15,848.93	Facility		$478.63	$616.60	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $575.44	Professional		$331.13	$426.58	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $331.13 / $831.76	Facility		$186.21	$331.13	$831.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $436.52 / $478.63	Facility		$245.47	$436.52	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $288.40 / $537.03	Facility		$181.97	$288.40	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95,499.26 / $147,910.84 / $204,173.79	Facility		$95,499.26	$147,910.84	$204,173.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $275,422.87	Facility		$2,884.03	$17,782.79	$275,422.87