Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $199.53 / $7,943.28	Facility		$107.15	$199.53	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $147.91 / $169.82	Professional		$72.44	$147.91	$169.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $114.82 / $229.09	Facility		$77.62	$114.82	$229.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $158.49 / $165.96	Facility		$117.49	$158.49	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $114.82 / $190.55	Facility		$81.28	$114.82	$190.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,897.79 / $7,413.10	Facility		$794.33	$4,897.79	$7,413.10