Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $4,704.00 / $8,728.00	Facility		$146.59	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.74 / $153.32 / $172.63	Professional		$108.74	$153.32	$172.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.17 / $142.10 / $215.37	Facility		$100.17	$142.10	$215.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.80 / $128.47 / $134.66	Facility		$85.80	$128.47	$134.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.17 / $166.83 / $215.37	Facility		$100.17	$166.83	$215.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,032.32 / $5,176.14 / $6,353.74	Facility		$4,032.32	$5,176.14	$6,353.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00