Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.18 / $2,747.00 / $7,920.26	Facility		$363.18	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.92 / $400.31 / $455.70	Professional		$283.92	$400.31	$455.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.05 / $357.34 / $523.89	Facility		$222.05	$357.34	$523.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $256.14 / $345.87 / $371.28	Facility		$256.14	$345.87	$371.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.05 / $396.99 / $517.74	Facility		$222.05	$396.99	$517.74
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $70.66 / $70.66 / $70.66	Facility	80	$70.66	$70.66	$70.66
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $60.06 / $60.06 / $60.06	Facility	AS	$60.06	$60.06	$60.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $968.89 / $968.89 / $968.89	Facility		$968.89	$968.89	$968.89
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