Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.02 / $4,962.67 / $15,341.00	Facility		$428.02	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.14 / $455.44 / $515.77	Professional		$317.14	$455.44	$515.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $271.49 / $411.80 / $592.73	Facility		$271.49	$411.80	$592.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $270.83 / $367.66 / $393.29	Facility		$270.83	$367.66	$393.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.69 / $469.78 / $3,274.00	Facility		$275.69	$469.78	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $7,624.85	Facility		$4,993.29	$6,338.31	$7,624.85
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