Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.19 / $2,747.00 / $7,920.26	Facility		$323.19	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.06 / $359.52 / $409.27	Professional		$254.06	$359.52	$409.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.91 / $307.54 / $462.38	Facility		$155.91	$307.54	$462.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $226.56 / $309.49 / $351.90	Facility		$226.56	$309.49	$351.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.91 / $335.39 / $462.38	Facility		$155.91	$335.39	$462.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $942.27 / $942.27 / $942.27	Facility		$942.27	$942.27	$942.27
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