Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,818.38 / $13,182.57	Facility		$537.03	$2,818.38	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $977.24	Professional		$562.34	$724.44	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $676.08 / $2,818.38	Facility		$426.58	$676.08	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $724.44 / $758.58	Facility		$562.34	$724.44	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $537.03 / $891.25	Facility		$416.87	$537.03	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $9,772.37 / $13,182.57	Facility		$5,248.07	$9,772.37	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61