Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.58 / $4,684.68 / $8,728.00	Facility		$664.58	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.52 / $722.67 / $910.42	Professional		$571.52	$722.67	$910.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $395.12 / $717.79 / $918.00	Facility		$395.12	$717.79	$918.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $490.29 / $707.52 / $759.78	Facility		$490.29	$707.52	$759.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $395.12 / $769.61 / $1,738.00	Facility		$395.12	$769.61	$1,738.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,378.18 / $13,050.49	Facility		$6,909.34	$10,378.18	$13,050.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00