Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.25 / $4,962.67 / $15,341.00	Facility		$313.25	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.10 / $329.47 / $528.29	Professional		$229.10	$329.47	$528.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.93 / $327.89 / $520.41	Facility		$182.93	$327.89	$520.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $197.87 / $405.27 / $469.20	Facility		$197.87	$405.27	$469.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.53 / $348.79 / $805.36	Facility		$194.53	$348.79	$805.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $617.05 / $792.89	Facility		$492.49	$617.05	$792.89
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