Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.07 / $4,684.68 / $8,728.00	Facility		$639.07	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.90 / $690.02 / $869.10	Professional		$547.90	$690.02	$869.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $379.17 / $684.11 / $879.75	Facility		$379.17	$684.11	$879.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $432.48 / $673.34 / $723.60	Facility		$432.48	$673.34	$723.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $379.17 / $734.83 / $1,738.00	Facility		$379.17	$734.83	$1,738.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,525.75 / $15,225.66 / $19,370.28	Facility		$11,525.75	$15,225.66	$19,370.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00