Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.01 / $2,747.00 / $7,920.26	Facility		$461.01	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $361.31 / $510.33 / $580.94	Professional		$361.31	$510.33	$580.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.31 / $437.91 / $658.39	Facility		$221.31	$437.91	$658.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.88 / $440.14 / $464.98	Facility		$323.88	$440.14	$464.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $221.31 / $477.57 / $658.39	Facility		$221.31	$477.57	$658.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,219.13 / $1,219.13 / $1,219.13	Facility		$1,219.13	$1,219.13	$1,219.13
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