Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.70 / $2,747.00 / $7,920.26	Facility		$276.70	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.76 / $288.04 / $510.44	Professional		$220.76	$288.04	$510.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.74 / $309.39 / $486.38	Facility		$163.74	$309.39	$486.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $231.02 / $387.93 / $444.55	Facility		$231.02	$387.93	$444.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.59 / $324.86 / $758.12	Facility		$170.59	$324.86	$758.12
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