Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.32 / $4,962.67 / $15,341.00	Facility		$164.32	$4,962.67	$15,341.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $232.24 / $606.64	Professional		$139.84	$232.24	$606.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.44 / $254.31 / $672.91	Facility		$112.44	$254.31	$672.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.41 / $454.57 / $513.40	Facility		$151.41	$454.57	$513.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.44 / $420.03 / $672.91	Facility		$112.44	$420.03	$672.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,578.09 / $2,064.48 / $2,604.89	Facility		$1,578.09	$2,064.48	$2,604.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00