Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $5,623.41 / $8,709.64	Facility		$436.52	$5,623.41	$8,709.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $575.44	Professional		$331.13	$436.52	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $5,623.41	Facility		$251.19	$416.87	$5,623.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $416.87 / $446.68	Facility		$331.13	$416.87	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $323.59 / $524.81	Facility		$251.19	$323.59	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $7,762.47	Facility		$5,011.87	$6,456.54	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50