Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $758.58 / $13,182.57	Facility		$602.56	$758.58	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $758.58	Professional		$457.09	$602.56	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $7,943.28	Facility		$302.00	$416.87	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $575.44 / $616.60	Facility		$501.19	$575.44	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $389.05 / $741.31	Facility		$295.12	$389.05	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $26,302.68	Facility		$2,884.03	$17,782.79	$26,302.68