Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.06 / $2,747.00 / $7,920.26	Facility		$382.06	$2,747.00	$7,920.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.62 / $427.31 / $486.44	Professional		$304.62	$427.31	$486.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.38 / $392.03 / $582.20	Facility		$251.38	$392.03	$582.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $294.58 / $371.08 / $407.36	Facility		$294.58	$371.08	$407.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.38 / $418.92 / $540.47	Facility		$251.38	$418.92	$540.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,086.00 / $1,086.00	Facility		$1,086.00	$1,086.00	$1,086.00
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