Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.96 / $5,584.00 / $15,341.00	Facility		$443.96	$5,584.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $442.31 / $627.77 / $706.81	Professional		$442.31	$627.77	$706.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $360.95 / $569.50 / $776.04	Facility		$360.95	$569.50	$776.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $393.41 / $536.44 / $552.75	Facility		$393.41	$536.44	$552.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.95 / $674.79 / $3,274.00	Facility		$360.95	$674.79	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,386.92 / $10,378.18 / $13,050.49	Facility		$8,386.92	$10,378.18	$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