Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.28 / $2,747.00 / $7,920.26	Facility		$457.28	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.83 / $509.24 / $579.71	Professional		$360.83	$509.24	$579.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.84 / $434.43 / $653.16	Facility		$220.84	$434.43	$653.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $307.69 / $439.55 / $456.27	Facility		$307.69	$439.55	$456.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.84 / $473.78 / $653.16	Facility		$220.84	$473.78	$653.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,213.77 / $1,213.77 / $1,213.77	Facility		$1,213.77	$1,213.77	$1,213.77
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