Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.05 / $889.39 / $7,920.26	Facility		$273.05	$889.39	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.83 / $313.33 / $352.78	Professional		$222.83	$313.33	$352.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.09 / $260.39 / $444.84	Facility		$184.09	$260.39	$444.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.43 / $236.55 / $279.39	Facility		$166.43	$236.55	$279.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.62 / $280.45 / $444.84	Facility		$205.62	$280.45	$444.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $674.64 / $914.40	Facility		$555.45	$674.64	$914.40
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00