Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.75 / $7,920.26 / $13,746.00	Facility		$646.75	$7,920.26	$13,746.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $521.46 / $747.05 / $842.28	Professional		$521.46	$747.05	$842.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $459.83 / $685.85 / $988.63	Facility		$459.83	$685.85	$988.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $449.13 / $607.38 / $649.90	Facility		$449.13	$607.38	$649.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $459.83 / $775.22 / $6,246.00	Facility		$459.83	$775.22	$6,246.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,993.29 / $6,338.31 / $8,066.74	Facility		$4,993.29	$6,338.31	$8,066.74
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,489.94 / $9,507.46 / $12,100.11	Facility	50	$7,489.94	$9,507.46	$12,100.11
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