Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $512.86 / $7,943.28	Facility		$288.40	$512.86	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $512.86	Professional		$302.00	$398.11	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $389.05 / $602.56	Facility		$239.88	$389.05	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $398.11 / $426.58	Facility		$346.74	$398.11	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $354.81 / $537.03	Facility		$223.87	$354.81	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52