Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $7,943.28 / $15,848.93	Facility		$537.03	$7,943.28	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $676.08	Professional		$389.05	$501.19	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $7,943.28	Facility		$302.00	$446.68	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $501.19 / $549.54	Facility		$389.05	$501.19	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $380.19 / $630.96	Facility		$288.40	$380.19	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $11,748.98	Facility		$7,079.46	$9,772.37	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,772.37 / $14,125.38	Facility		$1,995.26	$9,772.37	$14,125.38