Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.35 / $5,649.00 / $15,341.00	Facility		$425.35	$5,649.00	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.19 / $382.27 / $453.33	Professional		$309.19	$382.27	$453.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $224.58 / $294.45 / $541.48	Facility		$224.58	$294.45	$541.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $271.32 / $375.20 / $390.61	Facility		$271.32	$375.20	$390.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.05 / $343.95 / $541.48	Facility		$228.05	$343.95	$541.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,274.82 / $1,579.21	Facility		$900.57	$1,274.82	$1,579.21
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