Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $512.86 / $7,943.28	Facility		$389.05	$512.86	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $512.86	Professional		$302.00	$389.05	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $354.81 / $616.60	Facility		$218.78	$354.81	$616.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $371.54 / $389.05	Facility		$295.12	$371.54	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $288.40 / $467.74	Facility		$218.78	$288.40	$467.74
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