Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.34 / $4,683.97 / $11,810.04	Facility		$585.34	$4,683.97	$11,810.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.53 / $714.48 / $853.19	Professional		$564.53	$714.48	$853.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $344.77 / $589.91 / $789.48	Facility		$344.77	$589.91	$789.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $410.38 / $586.25 / $718.24	Facility		$410.38	$586.25	$718.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.77 / $658.53 / $2,327.00	Facility		$344.77	$658.53	$2,327.00
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 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00