Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $7,943.28	Facility		$213.80	$398.11	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $316.23 / $407.38	Professional		$141.25	$316.23	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $562.34	Facility		$204.17	$269.15	$562.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $309.03 / $338.84	Facility		$269.15	$309.03	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $223.87 / $416.87	Facility		$177.83	$223.87	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52