Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $524.81 / $7,943.28	Facility		$275.42	$524.81	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $524.81	Professional		$302.00	$398.11	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $354.81 / $588.84	Facility		$257.04	$354.81	$588.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $426.58	Facility		$346.74	$407.38	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $295.12 / $512.86	Facility		$223.87	$295.12	$512.86
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