Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $446.68 / $7,943.28	Facility		$346.74	$446.68	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $436.52	Professional		$251.19	$331.13	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $288.40 / $436.52	Facility		$186.21	$288.40	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $309.03 / $354.81	Facility		$239.88	$309.03	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $234.42 / $389.05	Facility		$177.83	$234.42	$389.05
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