Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,019.95 / $7,943.28	Facility		$776.25	$3,019.95	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $977.24	Professional		$562.34	$741.31	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $588.84 / $1,380.38	Facility		$426.58	$588.84	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $794.33	Facility		$537.03	$707.95	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $537.03 / $891.25	Facility		$398.11	$537.03	$891.25
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