Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $457.09 / $15,848.93	Facility		$354.81	$457.09	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $426.58	Professional		$239.88	$316.23	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $257.04 / $602.56	Facility		$169.82	$257.04	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $323.59 / $354.81	Facility		$223.87	$323.59	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $245.47 / $416.87	Facility		$165.96	$245.47	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,786.30 / $5,888.44	Facility		$3,715.35	$4,786.30	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10