Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.30 / $4,704.00 / $8,728.00	Facility		$325.30	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.16 / $341.76 / $384.79	Professional		$240.16	$341.76	$384.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.54 / $283.95 / $420.41	Facility		$195.54	$283.95	$420.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.93 / $291.45 / $296.48	Facility		$178.93	$291.45	$296.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.54 / $350.11 / $420.41	Facility		$195.54	$350.11	$420.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,410.62 / $9,753.18 / $13,050.49	Facility		$5,410.62	$9,753.18	$13,050.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00