Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.54 / $2,747.00 / $7,920.26	Facility		$285.54	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.65 / $310.94 / $461.92	Professional		$209.65	$310.94	$461.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $172.80 / $270.77 / $430.11	Facility		$172.80	$270.77	$430.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.05 / $339.95 / $397.98	Facility		$221.05	$339.95	$397.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.42 / $276.58 / $684.39	Facility		$173.42	$276.58	$684.39
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