Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $7,943.28	Facility		$724.44	$954.99	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $954.99	Professional		$549.54	$707.95	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $676.08 / $1,174.90	Facility		$416.87	$676.08	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $707.95 / $741.31	Facility		$562.34	$707.95	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $891.25	Facility		$416.87	$524.81	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $13,182.57	Facility		$8,511.38	$10,964.78	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33