Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.31 / $2,747.00 / $7,920.26	Facility		$695.31	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.91 / $797.95 / $898.41	Professional		$559.91	$797.95	$898.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $464.25 / $724.00 / $1,014.46	Facility		$464.25	$724.00	$1,014.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $528.59 / $682.08 / $739.01	Facility		$528.59	$682.08	$739.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $464.25 / $773.67 / $998.14	Facility		$464.25	$773.67	$998.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,937.78 / $1,937.78 / $1,937.78	Facility		$1,937.78	$1,937.78	$1,937.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00