Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.92 / $4,962.67 / $15,341.00	Facility		$251.92	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.23 / $264.42 / $475.65	Professional		$202.23	$264.42	$475.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.43 / $287.10 / $454.01	Facility		$150.43	$287.10	$454.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $217.08 / $365.15 / $425.09	Facility		$217.08	$365.15	$425.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.10 / $304.26 / $709.74	Facility		$157.10	$304.26	$709.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,208.00 / $1,492.71	Facility		$900.57	$1,208.00	$1,492.71
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00