Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.99 / $4,962.67 / $15,341.00	Facility		$269.99	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.73 / $297.33 / $608.66	Professional		$223.73	$297.33	$608.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.63 / $341.97 / $610.74	Facility		$165.63	$341.97	$610.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.09 / $476.68 / $636.99	Facility		$230.09	$476.68	$636.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.20 / $368.86 / $903.29	Facility		$170.20	$368.86	$903.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,588.33 / $7,048.47	Facility		$4,573.85	$5,588.33	$7,048.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00