Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.39 / $6,072.60 / $15,341.00	Facility		$543.39	$6,072.60	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.47 / $565.09 / $636.24	Professional		$398.47	$565.09	$636.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.77 / $469.96 / $696.11	Facility		$323.77	$469.96	$696.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.49 / $485.42 / $489.60	Facility		$295.49	$485.42	$489.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.77 / $578.16 / $696.11	Facility		$323.77	$578.16	$696.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,806.81	Facility		$8,508.06	$10,952.22	$13,806.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00