Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.13 / $4,684.68 / $8,728.00	Facility		$309.13	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.19 / $329.33 / $381.02	Professional		$258.19	$329.33	$381.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.32 / $310.11 / $417.45	Facility		$183.32	$310.11	$417.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $210.12 / $293.44 / $320.26	Facility		$210.12	$293.44	$320.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.32 / $342.79 / $1,738.00	Facility		$183.32	$342.79	$1,738.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,774.58 / $8,610.70	Facility		$4,993.29	$6,774.58	$8,610.70
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