Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $602.56 / $7,943.28	Facility		$316.23	$602.56	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $602.56	Professional		$346.74	$457.09	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $316.23 / $676.08	Facility		$229.09	$316.23	$676.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $467.74 / $501.19	Facility		$380.19	$467.74	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $316.23 / $537.03	Facility		$229.09	$316.23	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52