Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.60 / $3,213.00 / $7,920.26	Facility		$375.60	$3,213.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.14 / $407.48 / $790.49	Professional		$305.14	$407.48	$790.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.21 / $405.87 / $648.23	Facility		$229.21	$405.87	$648.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $293.67 / $442.07 / $662.04	Facility		$293.67	$442.07	$662.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $221.62 / $418.20 / $888.13	Facility		$221.62	$418.20	$888.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00