Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.58 / $610.48 / $6,629.40	Facility		$170.58	$610.48	$6,629.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $212.59 / $400.64	Professional		$162.93	$212.59	$400.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.89 / $242.22 / $385.95	Facility		$120.89	$242.22	$385.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $306.86 / $348.84	Facility		$161.82	$306.86	$348.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.86 / $243.89 / $444.50	Facility		$125.86	$243.89	$444.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00