Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.73 / $4,704.00 / $8,728.00	Facility		$71.73	$4,704.00	$8,728.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.89 / $73.33 / $83.48	Professional		$51.89	$73.33	$83.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.86 / $65.55 / $94.30	Facility		$43.86	$65.55	$94.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $63.22 / $67.31	Facility		$46.16	$63.22	$67.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.86 / $73.09 / $93.49	Facility		$43.86	$73.09	$93.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $173.91 / $173.91 / $173.91	Facility		$173.91	$173.91	$173.91
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