Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.57 / $5,116.62 / $15,341.00	Facility		$399.57	$5,116.62	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.51 / $427.01 / $500.84	Professional		$335.51	$427.01	$500.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $236.41 / $391.02 / $508.28	Facility		$236.41	$391.02	$508.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $268.27 / $383.24 / $418.75	Facility		$268.27	$383.24	$418.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.41 / $438.18 / $2,327.00	Facility		$236.41	$438.18	$2,327.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,273.56 / $9,753.18 / $13,050.49	Facility		$5,273.56	$9,753.18	$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