Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.07 / $4,684.68 / $8,728.00	Facility		$185.07	$4,684.68	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $229.37 / $414.68	Professional		$156.12	$229.37	$414.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.51 / $252.23 / $398.93	Facility		$125.51	$252.23	$398.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $160.91 / $283.86 / $337.68	Facility		$160.91	$283.86	$337.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.51 / $269.85 / $1,738.00	Facility		$125.51	$269.85	$1,738.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $4,855.54 / $6,069.32	Facility		$3,868.81	$4,855.54	$6,069.32
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