Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.84 / $5,649.00 / $15,341.00	Facility		$445.84	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.97 / $453.07 / $548.08	Professional		$350.97	$453.07	$548.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $230.83 / $444.77 / $672.75	Facility		$230.83	$444.77	$672.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $353.51 / $427.55 / $523.38	Facility		$353.51	$427.55	$523.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.08 / $510.67 / $727.20	Facility		$245.08	$510.67	$727.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,778.09 / $12,680.11 / $13,092.93	Facility		$10,778.09	$12,680.11	$13,092.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,949.00 / $18,733.00 / $26,404.00	Facility		$3,949.00	$18,733.00	$26,404.00