Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.64 / $4,962.67 / $7,920.26	Facility		$269.64	$4,962.67	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.29 / $678.48 / $1,789.21	Professional		$230.29	$678.48	$1,789.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.66 / $678.48 / $1,973.20	Facility		$181.66	$678.48	$1,973.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $238.52 / $1,174.89 / $1,480.70	Facility		$238.52	$1,174.89	$1,480.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.66 / $1,184.04 / $1,973.20	Facility		$181.66	$1,184.04	$1,973.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,517.00 / $7,385.00	Facility		$1,689.00	$5,517.00	$7,385.00