Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.97 / $4,704.00 / $8,728.00	Facility		$308.97	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.82 / $318.52 / $358.62	Professional		$224.82	$318.52	$358.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.58 / $334.53 / $686.07	Facility		$210.58	$334.53	$686.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.35 / $279.39 / $527.15	Facility		$229.35	$279.39	$527.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.58 / $354.40 / $2,522.10	Facility		$210.58	$354.40	$2,522.10
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