Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.21 / $5,584.00 / $15,341.00	Facility		$517.21	$5,584.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.19 / $755.32 / $854.72	Professional		$526.19	$755.32	$854.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $420.50 / $653.41 / $904.08	Facility		$420.50	$653.41	$904.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $440.41 / $609.03 / $652.58	Facility		$440.41	$609.03	$652.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.50 / $762.77 / $3,274.00	Facility		$420.50	$762.77	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00