Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $977.24 / $13,182.57	Facility		$776.25	$977.24	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $954.99	Professional		$549.54	$724.44	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $707.95 / $1,348.96	Facility		$467.74	$707.95	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $758.58 / $776.25	Facility		$602.56	$758.58	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $630.96 / $977.24	Facility		$426.58	$630.96	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,481.54 / $13,182.57	Facility		$8,511.38	$11,481.54	$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