Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.02 / $4,684.68 / $8,728.00	Facility		$246.02	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.11 / $309.00 / $526.10	Professional		$212.11	$309.00	$526.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.35 / $333.39 / $555.59	Facility		$163.35	$333.39	$555.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $200.33 / $363.66 / $428.80	Facility		$200.33	$363.66	$428.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.35 / $351.20 / $1,738.00	Facility		$163.35	$351.20	$1,738.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,028.80 / $1,288.73 / $1,617.16	Facility		$1,028.80	$1,288.73	$1,617.16
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