Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $5,128.61 / $7,943.28	Facility		$562.34	$5,128.61	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $691.83	Professional		$398.11	$512.86	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $954.99	Facility		$331.13	$478.63	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $537.03 / $549.54	Facility		$436.52	$537.03	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $426.58 / $691.83	Facility		$295.12	$426.58	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $10,964.78 / $13,182.57	Facility		$8,317.64	$10,964.78	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61