Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $891.25 / $13,182.57	Facility		$691.83	$891.25	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $870.96	Professional		$501.19	$660.69	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $512.86 / $1,202.26	Facility		$371.54	$512.86	$1,202.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $616.60 / $707.95	Facility		$478.63	$616.60	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $467.74 / $776.25	Facility		$354.81	$467.74	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $15,848.93 / $19,054.61	Facility		$12,022.64	$15,848.93	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,378.01 / $23,988.33	Facility		$2,884.03	$17,378.01	$23,988.33