Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $42,657.95	Facility		$524.81	$645.65	$42,657.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $645.65	Professional		$371.54	$489.78	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $794.33	Facility		$269.15	$436.52	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $524.81	Facility		$407.38	$501.19	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $371.54 / $645.65	Facility		$263.03	$371.54	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
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