Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.33 / $2,747.00 / $7,920.26	Facility		$155.33	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $159.10 / $188.90	Professional		$128.68	$159.10	$188.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.60 / $119.63 / $229.17	Facility		$90.60	$119.63	$229.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.86 / $153.27 / $164.15	Facility		$113.86	$153.27	$164.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.03 / $128.16 / $229.17	Facility		$95.03	$128.16	$229.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $413.45 / $413.45 / $413.45	Facility		$413.45	$413.45	$413.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00