Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $4,786.30 / $9,549.93	Facility		$245.47	$4,786.30	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $371.54	Professional		$213.80	$275.42	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $245.47 / $5,128.61	Facility		$158.49	$245.47	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $288.40 / $309.03	Facility		$234.42	$288.40	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $213.80 / $371.54	Facility		$147.91	$213.80	$371.54
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