Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $645.65 / $1,659.59	Facility		$302.00	$645.65	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $912.01	Professional		$316.23	$457.09	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $436.52 / $870.96	Facility		$234.42	$436.52	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $575.44 / $645.65	Facility		$398.11	$575.44	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $407.38 / $724.44	Facility		$218.78	$407.38	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,174.90	Facility		$707.95	$1,000.00	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95