Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.64 / $5,229.00 / $7,926.13	Facility		$567.64	$5,229.00	$7,926.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.01 / $636.65 / $716.80	Professional		$448.01	$636.65	$716.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $328.00 / $641.01 / $955.22	Facility		$328.00	$641.01	$955.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $401.17 / $545.75 / $651.79	Facility		$401.17	$545.75	$651.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.00 / $705.20 / $3,274.00	Facility		$328.00	$705.20	$3,274.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,039.76 / $15,838.63 / $18,619.91	Facility		$12,039.76	$15,838.63	$18,619.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00