Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,187.76 / $6,606.93	Facility		$380.19	$2,187.76	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $851.14 / $2,187.76	Professional		$316.23	$851.14	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $912.01 / $2,818.38	Facility		$229.09	$912.01	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $1,778.28	Facility		$1,148.15	$1,698.24	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $912.01 / $2,041.74	Facility		$213.80	$912.01	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $7,762.47	Facility		$5,011.87	$6,456.54	$7,762.47
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,413.10 / $9,549.93 / $11,481.54	Facility	50	$7,413.10	$9,549.93	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $9,120.11	Facility		$1,096.48	$3,715.35	$9,120.11