Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $870.96 / $6,606.93	Facility		$512.86	$870.96	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $977.24	Professional		$446.68	$660.69	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $616.60 / $1,096.48	Facility		$398.11	$616.60	$1,096.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $741.31 / $776.25	Facility		$575.44	$741.31	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $933.25	Facility		$371.54	$562.34	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $23,442.29	Facility		$1,995.26	$10,232.93	$23,442.29