Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.55 / $2,747.00 / $7,920.26	Facility		$303.55	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.76 / $333.85 / $375.89	Professional		$236.76	$333.85	$375.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.66 / $347.24 / $478.72	Facility		$222.66	$347.24	$478.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.92 / $288.39 / $310.76	Facility		$212.92	$288.39	$310.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.66 / $368.58 / $478.72	Facility		$222.66	$368.58	$478.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $810.98 / $810.98 / $810.98	Facility		$810.98	$810.98	$810.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00