Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.03 / $4,684.68 / $8,728.00	Facility		$468.03	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.65 / $526.00 / $668.56	Professional		$408.65	$526.00	$668.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.63 / $511.11 / $668.45	Facility		$302.63	$511.11	$668.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $342.00 / $497.81 / $558.78	Facility		$342.00	$497.81	$558.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.63 / $568.32 / $1,738.00	Facility		$302.63	$568.32	$1,738.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
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