Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.89 / $2,747.00 / $7,920.26	Facility		$365.89	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.25 / $404.42 / $460.37	Professional		$286.25	$404.42	$460.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.38 / $347.66 / $522.71	Facility		$175.38	$347.66	$522.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.48 / $348.72 / $401.33	Facility		$274.48	$348.72	$401.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.38 / $379.15 / $522.71	Facility		$175.38	$379.15	$522.71
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $60.50 / $60.50 / $60.50	Facility	AS	$60.50	$60.50	$60.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,073.60 / $1,073.60 / $1,073.60	Facility		$1,073.60	$1,073.60	$1,073.60
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