Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $371.54 / $7,943.28	Facility		$223.87	$371.54	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $380.19	Professional		$218.78	$288.40	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $223.87 / $478.63	Facility		$177.83	$223.87	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $288.40 / $309.03	Facility		$251.19	$288.40	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $223.87 / $389.05	Facility		$162.18	$223.87	$389.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52