Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.56 / $2,747.00 / $7,920.26	Facility		$504.56	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.58 / $557.90 / $635.10	Professional		$394.58	$557.90	$635.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $335.47 / $505.08 / $721.26	Facility		$335.47	$505.08	$721.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $366.28 / $480.67 / $515.44	Facility		$366.28	$480.67	$515.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $335.47 / $559.05 / $709.94	Facility		$335.47	$559.05	$709.94
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $82.89 / $82.89 / $82.89	Facility	AS	$82.89	$82.89	$82.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,341.54 / $1,341.54 / $1,341.54	Facility		$1,341.54	$1,341.54	$1,341.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $37,152.00 / $65,339.00	Facility		$4,252.00	$37,152.00	$65,339.00