Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $213.80 / $6,606.93	Facility		$134.90	$213.80	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $245.47	Professional		$107.15	$165.96	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $141.25 / $309.03	Facility		$87.10	$141.25	$309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $177.83 / $190.55	Facility		$131.83	$177.83	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $141.25 / $223.87	Facility		$81.28	$141.25	$223.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,630.27	Facility		$1,584.89	$2,041.74	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $7,413.10	Facility		$1,096.48	$2,754.23	$7,413.10