Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $7,943.28	Facility		$302.00	$380.19	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $380.19	Professional		$218.78	$288.40	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $204.17 / $4,677.35	Facility		$158.49	$204.17	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $295.12	Facility		$218.78	$295.12	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $194.98 / $371.54	Facility		$151.36	$194.98	$371.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $9,772.37 / $13,182.57	Facility		$5,370.32	$9,772.37	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61