Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.67 / $5,116.62 / $11,526.14	Facility		$356.67	$5,116.62	$11,526.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.06 / $417.61 / $470.18	Professional		$291.06	$417.61	$470.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $211.21 / $352.75 / $507.23	Facility		$211.21	$352.75	$507.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.46 / $347.73 / $371.14	Facility		$251.46	$347.73	$371.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.21 / $433.26 / $3,274.00	Facility		$211.21	$433.26	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
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